Recurrent Miscarriages: Causes, Evaluation, and Help

Recurrent miscarriage, defined as the occurrence of three or more consecutive pregnancy losses before 20 weeks of gestation, can be emotionally challenging and may require thorough evaluation to identify the underlying cause. . Here is information on possible causes, the assessment process, and sources of support:

Causes of Recurrent Miscarriage:

  • Chromosomal abnormalities:

Genetic problems in the fetus are a common cause of early miscarriage.

Structural problems in the uterus, such as fibroids or the septum, can affect implantation and contribute to frequent miscarriages.

Hormonal disorders, including polycystic ovary syndrome (PCOS) and thyroid disorders, can affect fertility and increase the risk of miscarriage.

Autoimmune disorders can cause the body to attack the developing fetus.

  • Blood clotting disorders:

Conditions such as antiphospholipid syndrome can cause blood clotting problems, potentially leading to miscarriage.

Some infections, such as cytomegalovirus (CMV) or untreated sexually transmitted infections, can contribute to miscarriage.

Conditions such as diabetes or uncontrolled glucose levels can increase the risk of miscarriage.

Smoking, excessive alcohol consumption, and drug use can negatively impact fertility and increase the risk of miscarriage.

The risk of miscarriage increases with the mother’s age, especially after age 35.

Evaluation Process:

Chromosomal analysis of both parents and products of conception can identify genetic abnormalities.

Imaging studies, such as hysterosalpingography (HSG) or hysteroscopy, can evaluate the uterus and identify structural abnormalities.

Blood tests can assess hormone levels, including levels related to thyroid function and reproductive hormones.

  • Immunity and clotting tests:

Testing for autoimmune disorders and blood clotting disorders, such as antiphospholipid antibodies, may be done.

Infections that can affect pregnancy can be tested for.

Lifestyle Assessment:

Evaluating lifestyle factors and recommending changes, such as quitting smoking or reducing alcohol intake. Visit a gynecologist doctor in Karachi for advice on further lifestyle changes.

Support and Management:

Get emotional support through counseling or support groups to deal with the emotional impact of repeated miscarriages.

Treatment depends on the underlying cause. For example, hormonal imbalances can be corrected with medication, and physical problems may require surgical intervention.

If genetic factors are identified, genetic counseling may provide insight into future pregnancies.

In some cases, assisted reproductive technologies (ART) such as in vitro fertilization (IVF) may be considered.

  • Monitoring and prenatal care:

Close monitoring and specialized prenatal care are often recommended for subsequent pregnancies.

Planning and optimizing health before conception can increase the chances of a successful pregnancy.

If unsure about the diagnosis or treatment plan, consider getting a second opinion from a fertility specialist or fertility specialist.

It is essential to work closely with a gynecologist or fertility specialist in Lahore to understand the specific factors that contribute to recurrent miscarriage and to develop an individualized plan for management and support.