Hi, don't know if this is the right subreddit for my question, but here it goes.
I (F37) and my boyfriend (M33) started trying for a baby in August 2025. We're both healthy, normal weight, exercise regularly, no smoking, practically no alcohol. I got some labs done last year, to try and assess my fertility prospects with AMH coming out at the lower end, 4.7 pmol/L (1.0-54 pmol/L), thyroid tests were normal.
I was initially a little worried about AMH beging on the lower end, but fell pregnant on my 3rd cycle, October 2025. Unfortunately I had a missed abortion at week 7+5 (last week of november, and had a medical abortion (Mifegyne+Misoprostol) in mid December. The amniotic sac was expelled as a whole, and I thought that was that. However, due to my period not coming back, and HCG still being >200 at 4-5 weeks post procedure, and with T1/2 of 11 days, I requested a follow up. Ultrasound showed some remaining placenta.
I was recommended another course if Misoprostol, which did almost nothing. And finally a 3rd round of Misoprostol, where they threw in Mifegyne "for good measure".
There were still placenta remains in utero after 3rd, round of medication, and the doctors recommended an endovac procedure done. I had been very hesitant to have any procedures, as I am a surgical resident myself, and know how easily adhesions can form. However, I was convinced that this was the only way to get my cycle back on track and be able to get pregnant again. First they tried to do the procedure right there at the outpatient clinic, but it was to painful once they started spinning the catheter around in my uterus. So I got scheduled to do it under anesthesia a couple of days later. I excpressed my concerns very clearly to the attending OBGYN preforming the procedure, and she assured me she had been extremely careful, only using suction and a soft catheter, no sharp or hot instruments. And that ultrasound showed no remaining pregnancy products, and a thin line of endometrial tissue.
I am now about to have my fourth round of very light menstrual bleeding. I'm 2 days out from my period, and went for a check up yesterday. Ultrasound showed 3mm (even thickness, as fasr as i could tell) endometrial lining, and a corpus luteum (so at least it's confirmed that I am ovulating) and the gynecologist actually berated me for having all those attempts for medical expulsion, and said that I had been over treated, and that this would have resolved itself. This was another practitioner, as the medical and surgical treatment was at my local hospital.
I was told I should lay off trying to figure out if anything is wrong for a few months, that stress might be causing this, and that this should sort itself out. Also she thought maybe all the medications had suppressed my estrogen levels or made my endometrial tissue less susceptible to hormonal stimuli. And she scheduled me for a follow up in 4 months.
The thing is, I've not been that stressed. My life as a surgical resident is stressful, but never ever has stress affected my period before. Open Evidence and Google tells me my most likely problem is intrauterine adhesions or damages to the endometrial baselayer from the procedures.
Could anyone who actually knows what they are talking about throw in their two cents about this? Should i get a second opinion before the 4 months? My only options then are expensive, private fertility clinics. I am so worried right now. I always pictured a life with children, and I am not ok right now.
Thanks for your time!