<s>[INST] MY WIFE HAVE TWO TIMES MISSCRRGE ON 4TH TO 5TH WEEKS AFTER PREGNANCY.SHE IS A HYPOTHYROID PATIENT WITH RECENT FASTNG GLUCOSE 136MG.SHE HAVE LFT POLYCYSTIC OVERY AND TORCH POSITIVE(CYTOMEGALLO & RUBELLA,IgG+).SHE IS TAKING GLYCOMET500(1),FOLIVATE(1),ECOSPRIN 75(1),NUROBION FORTE(2) AND ELTROXIN 100 WITH RESTRICTED DIET.HER OTHER BLOOD TEST (PPT GLUCOSE ,ESR,PCV,COMPLETE COUNT,VAGINAL SWAB HISTOLOGY AND CULTURE OF URINE ,HIV ,GLYCOSYLATED HB,HB GM%  ALL ARE NORMAL.PLEASE TELL ME HAVE THEIR ANY CHANCES OF DANGER FOR NEXT ISSUE...CAN WE GO FOR A CHILD AFER NORMALIZATION OF HER THYROID AND GLUCOSE LEVEL...?MY WIFE AGE IS 28,WEIGHT 79KG,HEIGHT 5FT 3INCH.PLEASE HELP ME DOCTOR. [/INST] Hi, if thyroxine and glucose are under control, then there is no risk to the baby. But the thyroid dose needs to be increased after pregnancy as the cutoff is low in pregnancy. You can discuss regarding this with your doctor. She can continue ecospirin and also can take progesterone to avoid miscarriages. </s>