Question

I had two D&Cs in 9/06. The first one was to remove my fetus because they said it was dead. The 2nd because I felt serious pain, and they found out there was additional tissue inside and they did a second surgery.

After that, I felt abdominal pain from November through January and did not cycle either. My doctor prescibed Prometrium 200 mg to get my cycle back.

I went to another doctor. The doctor saw blood inside my uterus and said my cervix was scarred from the surgery preventing my menstruation but could be easily fixed. I felt so relieved that I was not seriously sick.

The doctor again prescribe prometrium for me, and my cycle returned.

Now we have been trying for a 6 months to get pregnant. I am almost 29 years old and am worried whether I can have a baby again. Have my surgeries and my experience caused my fertility problem?

Please advise.

Jen

Answer

Dear Jen,

I am sorry you have been through such a traumatic series of experiences. Hopefully, you can conceive and have a normal pregnancy.

The blood remaining inside the uterus will not harm you. Fortunately, you don’t need to worry about that.

In your case, there are several issues. Are you at risk of miscarriage? Did the D&Cs scar your cervix or uterine lining? Is your body just recovering from the episodes?

First, if possible, you should see a physician who is knowledgeable about NaProTechnology. This approach to fertility will best help you attain a pregnancy in the most natural manner.

The first step is for you to begin charting your periods and your mucus cycles with the Creighton Model of Fertility Care. Then, a series of blood tests can be done, using your charts as “the map”, which will reveal how your hormone levels are all through the cycle.

The mucus will also be a clue to how the cervical glands have recovered from the surgeries. Mucus is the super highway that allows the sperm to meet the egg in your fallopian tube.

If you conceive before the evaluation is completed, I advise that you start receiving progesterone 200 mg intramuscular injections at least until things are stable and you have a blood test showing a normal progesterone “trough” level.

In health,

George Delgado, M.D., F.A.A.F.P.
Natural Family Planning Medical Consultant

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