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4 years of marriage 2 abortions ,amh1.09
What I do 2 month under with  follicular examination treatment but no positive result of pregnancy... In 2023 1st abortion and 2024 2nd no fetal pole development Torch test done,sugar level,and genetic test all test are normal.. but I have thyroid issue,will take 88mcg pills,my amh level is 1.09 .. Give me any suggestions...
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Dnt worry. Get semen examination of ur husband s. Make sure ur thyroid under control. Ur recurrent pregnancy work up u have mentioned is ok Wat about APLA profile,  is it done? AMH  for ur is OK, dnt worry.
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Aware of fertile period. get TVS done in D2 of menses for antral follicle count. try 2 natural cycles after ur husband  s test.
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infertility is a couple thing. stay strong.
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You have two concerns: difficulty conceiving and history of early pregnancy loss. Your AMH (1.09) suggests low–normal ovarian reserve, so chances are slightly reduced but pregnancy is still possible. Thyroid control is crucial — keep TSH <2.5 mIU/L on Levothyroxine (as per American Thyroid Association). Two losses require evaluation. Important tests still needed (online consultation)
Next Steps
Try 3–4 monitored cycles If no success → consider IUI/IVF
Health Tips
This is manageable—optimize thyroid, complete RPL workup, and don’t delay advanced fertility treatment if needed.
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IVF
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Ovulation induction with natural planning fir 2 cycles If no conception then hsg to check tubes followed by IUI for 3 cycles Take folic acid supplements
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You need a test called HSG to find out if after 2 abortions you are tubes are open or not AMH levels are poor You should proceed with IUI if husband seeman parameters are normal and at least one tube is open If you fail with two cycles of IUI you should proceed with IVF
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Ch3ck wheather  your  Thyroid  tests are normal now .AMH is on lower side. May be ,better  you take early decision for IVF .
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.