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Integrative Fertility  (Expert Forum)
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DNC
Answered by
John H. Kim, M.D. - Women's Health, Gynecology, Acupuncture, Integrative Medicine, REI, Mind/Body Medicine, ReproductiveMedicine, IntegrativeFertility, Herbal Medicine, infertility, menopause
John H. Kim, M.D. Los Altos - CA
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This forum is for questions and support regarding an integrative approach to healing that combines the best practices in complementary and conventional medicine. Topics include: Acupuncture, Herbal Therapy, Mind/Body Medicine, Traditional Chinese Medicine, Fertility, Stress and Fertility, Body Weight and Fertility, Environmental Contaminants and Fertility, Polycystic Ovarian Syndrome, Recurrent Pregnancy Loss, Fibroids, Endometriosis, Hormone Imbalances, Menopause.

DNC

by eriley, May 05, 2008 01:51PM
I have been through many fertility treatments and tests. I have been pregnant a few times but always miscarry. So many woman tell me to have my dr. do a DNC and they think I will get pregnant. My dr. does not want to do one. What do you think?

by John H. Kim, M.D., May 06, 2008 07:32PM
To: enley
Having a D&C may not be appropriate for you. Your doctor should do some evaluation of your uterine cavity by hysteroscopy or hysterosalpingogram. I presume that your doctor has done a complete assessment for your miscarriage.
This is a general overview from my website:
Women who have had two or more miscarriages can be seen in our clinic to be completely evaluated and treated for the various causes of recurrent pregnancy loss. Recurrent pregnancy loss can be attributed to many different causes. These causes include: genetic factors (e.g. abnormal fetal chromosomes, abnormal parental chromosomes); anatomic factors (e.g. structural abnormalities of the uterus such as scar tissue in the uterus, or congenital abnormalities of the uterus such as septate uterus); metabolic factors (e.g. diabetes); endocrine factors (e.g. abnormal thyroid, PCOS, diminished ovarian reserve); infectious factors (e.g. chlamydia, mycoplasma, ureaplasma); thrombotic factors (e.g. inherited thrombophilias); immunologic factors (e.g. anticardiolipin antibodies, autoimmune disorders, increased natural killer cell activity); male factors (e.g. sperm DNA fragmentation); and environmental factors (e.g. exposure to environmental toxins).
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