Using medication for an abortion (typically mifepristone and misoprostol) at one month of pregnancy is very safe and will not affect your ability to get pregnant again in two years. These medications are cleared from your body quickly, and your normal menstrual cycle and fertility should return within a few weeks. It does not increase the risk of future infertility or pregnancy complications. When you are ready in two years, your body's natural ability to conceive will be just as it was before.

For PCOS and thyroid-related infertility, the next best steps usually focus on optimizing your thyroid levels, as balanced thyroid hormones are crucial for conception. Under your doctor's guidance, the next step in your fertility journey often involves ovulation induction using medications like letrozole or clomiphene citrate to help your ovaries release an egg, combined with closely monitored timed intercourse or intrauterine insemination (IUI). You are doing a wonderful job managing your health, and your current medications, Duphaston (dydrogesterone) and Everon, are part of this supportive care.

When medication like progesterone successfully induces a period once but fails the second time, it often means your estrogen levels may currently be too low to build up the uterine lining, leaving nothing to shed. Other common possibilities include pregnancy, high stress, thyroid imbalances, elevated prolactin levels, or polycystic ovary syndrome (PCOS). Please rest assured that this is a very common issue with clear steps to resolve it. I highly recommend consulting your doctor.

Since I cannot recommend specific local doctors, I suggest asking your general doctor for a direct referral, or checking your insurance directory for an in-network orthopedic specialist or a podiatrist. Please go ahead and get that X-ray done as soon as possible; having those images ready will help the specialist quickly determine the best treatment for you. For now, keep your foot elevated, apply ice wrapped in a towel for fifteen minutes at a time, and rest.

For prevention, a daily generic vitamin B-complex or zinc tablet can be highly effective, especially if a nutritional deficiency is triggering them. To help them heal, focus on soft, soothing foods like yogurt, oatmeal, and bananas, which are gentle on your mouth. Please avoid spicy, salty, or highly acidic foods like citrus, as these can irritate the sores. Drinking plenty of water also helps. If they continue to occur monthly, it is a good idea to see a doctor or dentist to rule out any underlying causes.

Since Zincoderm only provides temporary relief and cetirizine hasn't helped, this rash might be a fungal infection or a condition like scabies, which typically worsens at night. Using steroid creams like Zincoderm can sometimes worsen fungal issues over time. I highly recommend visiting a healthcare professional for a proper diagnosis. They may suggest generic treatments such as topical antifungals (like clotrimazole) or antiparasitic creams (like permethrin), depending on the exact cause.