### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello I m 31 yrs old....had an abortion when I was 16.....never got pregnant again till december 2013 with twins.......I had bleeding all through my 10 weeks of pregnancy which ended in missed abortion....I therefore had an abortion done...that was 3 months ago.....ever since I ve been spotting. .......I had one heavy bleeding that I think is my period 15 days ago but lasted for 5 days and ever since I ve been spotting.....my ultrasound is normal....endometrium 7 mm......I was told I have hormonal imbalance and I should use contraceptive.......but I don t want that because I m trying desperately to become pregnant....please advise me

### output:

Hallow Dear, I do empathize your situation. It is a positive finding that your ultrasonography has not detected any organic lesion in the uterus. For the hormonal imbalance, you will have to take hormonal treatment. If you do not take it, the imbalance may interfere in your conception. If you are keen on getting pregnant, you need not defer for the hormonal treatment. Retroprogestational preparations of progesterone will help you regularize your menses without affecting the egg formation and release. You may request your Gynecologist to prescribe you retroprogestational preparation. Of course, I would like you to get your coagulation profile done, keeping in mind the history of missed abortion. Please get following tests done:1. Bleeding time & Clotting time2. Platelets count3. Prothrombin time4. Fibrinogen degradation products hope this should provide you positive scientific information. 