What other
investigations?? ATA, .Homocysteine...AMA, ANA consider hysteroscopy workup can
be done. Uterine septum is one of the main causes of RPL. karyotypic of
conceptus is debatable. Due to that septum,
there is no vascular supply n due to that embryo grows only up to 6-8 wk n then
abortedà .so go for hysteroscopy also!!!
Uterine septum
is one of the main cause of RPL. Due to that septum ,there is no vascular
supply n due to that embryo grows only upto 6-8 wk n then aborted. so go for
hysteroscopy also!!! Many prefer starting prophylactic LMW heparin in these patients, Some use Inj Bharglob as well
(causes production of immunoglobulin in body)/ LMW heparin LMW Heparin to
start after confirmation of intrauterine pregnancy by USG
. Empirical heparin
with good progesterone support.One can rarely try DHEA 75 mg for 3 month n then
plan for conceive
1 mg /kg body
weight of Enoxaparin, till 38 weeks of gestation
If Apla is normal LMW heparin may not work but can
be tried, Put her on L-methyl folate instead of Folic acid at least a month
prior to planning conception and on confirmation of pregnancy try
immunoglobulin- Bharglob 16,5% 1 ml. 2 inj at 21 days interval.
. Any environmental/
food ./ domestic pollutant-passive smoking , & professional pollutant affecting may affect spermatozonesis/oogenesis.
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