Possibility of Secondary Infertility?

I have had two miscarriages -- both around the tenth week -- since my son was born more than two years ago. I have had very heavy and irregular periods, combined with headaches, painful breasts, vomiting, stomach cramps, night sweats and a low-grade fever. I feel weak and worn out. Could I be experiencing secondary infertility?

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Peg Plumbo CNM

Peg Plumbo has been a certified nurse-midwife (CNM) since 1976. She has assisted at over 1,000 births and currently teaches in the... Read more

The term secondary infertility refers to infertility after a successful pregnancy. Primary infertility is that which occurs without a prior term pregnancy. There are different reasons for both, but some overlap as well.

I would recommend a visit to both a reproductive endocrinologist and an internist. A thyroid study, a test for autoantibodies, and antiphospholipid antibodies, including the lupus anticoagulant and anticardiolipin antiodies, could be done. Perhaps you are suffering from chronic fatigue syndrome -- a collagen disease or a glucose metabolism problem. Your difficulties with your cycles could be related to hormonal imbalances or ovarian cysts.

There is so much that should be checked out. You really need a physician who will take the time to sort all of this out and be willing to spend the time listening. I hope you find that person and good luck.

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