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"clot" in the uterus
Hello everyone. please help. thanks a million in advance
my friend missed her period for a couple of months and she felt a great pain in her womb. she visited two gynecologists who urged her to undergo a caesarian section to remove "maybe a clot of blood" that accumulated in her uterus. she ultimately underwent the surgery and now she feels well. it has been now a year. she is getting married soon but she is worried and has some questions:
1) what are the causes of this?
2) can she get pregnant or does she have to wait for a couple of years more ?  noting that women who deliver with a caesarian operation must keep a period of at least 4 years between deliveries (i have been told)
3) will she be able to give birth naturally  or has she got to undergo a caesarean section every time she wants to deliver?
4) she is 27 now, what can she do to avoid such menstrual problems?
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She'll have to talk to her doctor about the possible causes of a blood clot in her uterus. It is sometimes seen in pregnancy, but you did not mention if she was recently pregnant when that occurred. She'll want to have bloodwork done to make sure she doesn't have any underlining clotting disorders. Women can live with these every day without symptoms, until they are pregnant and have miscarraiges before it is discovered. In these instances, it's usually treatable if the doctor knows it's there. She should ask for the testing before getting pregnant. Also, she should clarify if it was for sure a blood clot. Other causes for pain and abnormalities requiring surgery would be fibriods.
Generally, for c-sections, doctors want their women to wait a year before trying to conceive to give the body a chance to heal. Her doctor can give her the clearance to start trying for a family.
Having a vaginal birth after c-section involves many factors, and it's own risks. Depending on the tope of incision she has, that may not be an option. Doctors generally will not plan for a vaginal birth if the woman has has a vertical incision across the top of her abdomen. Usually, these are seen with emergency c-sections. The lower abdomen incision, right across the bikini line (horizontal line) are the ones that some doctors will allow for a vaginal birth. Ultimately, her doctor will discuss her birthing options based on her previous surgery...it may be an option for her to try a vaginal birth, or it may be safe to plan for a second c-section.
Your friend should spend some time with her doctor to discuss exactly what was removed during the surgery, whether is was a blood clot or something else. At that point, she can discuss what she can do to prevent it. It's hard to say now what to do to prevent it withour knowing for sure what it was.
Good luck to your friend and her upcoming wedding and hopefully baby soon!
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