Ten days before arriving at the Mae Tao Clinic, Zin Mar had a miscarriage. She was about six weeks pregnant when her pregnancy spontaneously ended. Three days later, when she still wasn’t feeling well, she went to a clinic in Burma where they did an ultrasound. It turned out she needed vacuum aspiration of her uterus to remove the remaining tissues, which could have made her ill. The ultrasound also showed a cyst on her left ovary—the probable cause of the miscarriage. The doctor at the clinic told her that a viable pregnancy wouldn’t be possible with such a mass on her ovary. They offered to perform an operation there, but it would have cost her family 500,000 Kyat (US$500); more money than they could ever afford. Zin Mar’s husband works in the transport industry and helps organise trips between a town in Mon State and Karen State. He doesn’t drive the passengers himself, but he escorts them on the journey to make sure that everything goes alright. He usually makes six of these trips a month and for each trip the driver pays him 20,000 Kyat (US$20). His income is often less than this though, because sometimes he makes fewer trips or has to pay for car repairs. Zin Mar’s parents also live with the family – they both work as day labourers on a farm. Zin Mar doesn’t work, so the family of five (her parents, her husband, her daughter, and herself) struggle to survive on their limited earnings; they have just enough money for food and daily needs, but no extra. Zin Mar came to the Mae Tao Clinic with her cousin and a close friend. Fortunately their travel wasn’t expensive because they came with Zin Mar’s husband’s work vehicle. The trip to the Thai-Burma border took them nine hours and they arrived at the clinic in the evening. They spent the night in the patient house and waited until the clinic opened the next day. Even though she has recovered from the miscarriage, Zin Mar is still experiencing lower abdominal pain on her left side. She is constipated and cannot pass stool, only mucus. Fortunately, the vaginal bleeding has stopped and she has no discharge. Zin Mar wants to have treatment and get better again. She would like to have more children one day and her four-year-old daughter has asked for a younger sister or brother. Her daughter will start school this year.