Extract

Clinical History

Patient:

23-year-old Caucasian female.

Chief Complaint:

The patient presented to a reproductive specialist with concerns of recurrent pregnancy loss and subsequent secondary infertility.

Past Medical History:

The patient experienced 2 unexplained miscarriages in 1 year. The first occurred at 12 weeks gestation and the other at 13 weeks. After the second miscarriage, a dilation and curettage was performed with no complications. Since this time she experienced problems with infertility. She had a history of oligo-ovulation and irregular menstrual cycles, which were treated with fertility drugs. Previous laparoscopic surgery to investigate unexplained pelvic pain revealed no abnormalities and no evidence of endometriosis. The patient denied any history of headaches, visual changes, or galactorrhea.

Family History:

She had no family history of pregnancy loss and no personal or family history of a clotting disorder or autoimmune disease.

Physical Examination:

No physical abnormalities were noted and results of a transvaginal ultrasound and hysterosalpingogram were normal.

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