menstruation after D&C

I miscarried twins at 12 weeks in June 07, I have still not had a 'proper' period since. I have been to my doctor several times but he does not seem concerned. I have been ovulating since oct ( been using ovulation tests ) and have been having a very very  tiny brown 'show' on day 29. I have just finished acourse of accupuncture where I have been having my blood and kidney energies boosted and Since Jan  I have been taking chinese herbs for  the same problems. I am currently on day 33 of my cycle I have had no show at all and two pregnancy tests are negative. For the  last two days I have been in agony in my lower abs to the point of nearly going to a&e after test was neg I  thought it must be period pains but nothing.  I am having really bad night sweats and felt sick and dizzy since day 28 .Been to see my GP again today but he said my body just taking time to settle ! I appreciate everyones bodies are different but i just want to be pregnant. I am getting very anxious which probably doesn't help but am also worried something is wrong with me.  Please do you have any advice ?Thanks sam 1612

[Keith Downing, MD]

Hello,

Sounds like you should have an evaluation for secondary amenorrhea.  In your case the things I'd want to know are what is your TSH level (thyroid hormone) and Prolactin level, two hormones that when abnormal can lead to absent menses.  

Given your history, I'd be concerned about intra-uterine adhesions, or Asherman's syndrome.  This can be evaluated by hysteroscopy (looking inside the uterus with a small camera) or hysterosalpingogram (injecting dye inside the uterus and observing its fill with fluoroscopy.

There are other possible considerations, but those would be the most common.  I suggest you seek a second opinion or get referred to an ob/gyn.

Best regards,

Dr. Downing

[zoeb2]

I miscarried at 6 weeks in Oct 07 and have only had one period since (in Nov).  I have taken 3 hpt, all negative, and have been using protection during intercourse.  I just recently had my hormones tested, (fsh, lh, glucose, prolactin, etc) and had a pelvic ultrasound...all of which came back negative/normal.  I am wondering, should I be concerned about this.  My gyno does not seem to be. And if we start trying to conceive now, am I putting myself at risk for another miscarriage or hemorrhaging if I do get pregnant??

[zoeb2]

p.s.  like sam1612, I have been feeling bloated and crampy, like my period will be starting any day now, but it doesnt!  My cramps are not as severe as she described, however.

[sam1612]

Thanks so much. Been back to see my GP having blood test on Wed for hormone levels and have been to referred to a gyno. Having to using my private health care but at least i'll get seen pretty quick.  Just hoping i don't have the Asherman's Syndrome though !!Sam 1612

[nomorepain2]

A related discussion, after a d&C was started.