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Is It Advisable To Take Folic Acid, Vitamin D, Coenzyme Q10 And Prenatal Multi Vitamins While Trying To Get Pregnant After An Abortion?
Hi, I had PCOS so i took medication for folicle growth during mensuration for getting pregnant then 3rd time i got an pregnant but after 8 week had an abortion due to no heart beat . so now can i take supplement folic acid 600 mg, vitamin d 2000 IU and Coenzyme Q10 00 mg, prenatal multi vitamins , shall i take it all
Sat, 2 Sep 2023
Hello,
From your description it seems that you are have had consecutively 3 abortions. Thus, I suggest you to get evaluated for recurrent pregnancy loss before trying for next pregnancy. If possible try to do the following investigations:
1. TSH, thyroid peroxidase antibody
2. Serum prolactin
3. Antiphospholipid antibody, anti-cardiolipin antibody, lupus anticoagulant
4. Pelvic ultrasound to check for any abnormalities in the uterus.
Try to maintain BMI between 19 to 25, smoking cessation and limit caffeine intake to less than 200mg / day. You can take prenatal vitamins daily. Adding metformin can also help as you are having PCOD. You can consider taking progesterone once you have conceived after consulting your health care provider. You may also need to add heparin and aspirin if your blood tests are not normal. Prenatal vitamins have folic acid and vitamin D. Hence, you don't have to take them separately.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Praseetha Narayanan, OB & GYN Specialist
From your description it seems that you are have had consecutively 3 abortions. Thus, I suggest you to get evaluated for recurrent pregnancy loss before trying for next pregnancy. If possible try to do the following investigations:
1. TSH, thyroid peroxidase antibody
2. Serum prolactin
3. Antiphospholipid antibody, anti-cardiolipin antibody, lupus anticoagulant
4. Pelvic ultrasound to check for any abnormalities in the uterus.
Try to maintain BMI between 19 to 25, smoking cessation and limit caffeine intake to less than 200mg / day. You can take prenatal vitamins daily. Adding metformin can also help as you are having PCOD. You can consider taking progesterone once you have conceived after consulting your health care provider. You may also need to add heparin and aspirin if your blood tests are not normal. Prenatal vitamins have folic acid and vitamin D. Hence, you don't have to take them separately.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Praseetha Narayanan, OB & GYN Specialist
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