As the term suggests, recurrent miscarriage is 2-3 consecutive clinically recognized pregnancy failures. A clinically recognized pregnancy can be backed by proof like lab tests (sonography) and fetal or placenta presence. These miscarriages occur during the 20-24th week of the gestation period. Diagnosing this situation can be pretty obvious, but preventing it is not a straight road. Following up on your pregnancy from time to time and keeping track can only help.
What causes Recurrent Miscarriages?
One miscarriage can be very alarming, having more than 2 calls for an appointment at a clinic. Understanding the causes of a miscarriage can help you foster a healthy pregnancy in the future.
Genetic Abnormalities
The passing of abnormal chromosomes causes most first-trimester miscarriages. Chromosome composition is a case of probabilities, and if it is repeatedly occurring, you should consult an expert for alternatives.
Uterine Irregularities
The chances that this is the cause of a recurrent miscarriage are relatively lower, about 15%, to be specific. One of the cases is when a uterus owner is born with a uterus separated from a wall. Others include scarring of the uterus wall due to an internal or external mishap. Such situations can be most likely dealt with by prior examination of the problem.
Endocrine Anomalies
Diseases like thyroid, PCOS, and diabetes can cause miscarriages. Suboptimal ovaries suggesting Luteal Phase Defect can also cause unsuccessful pregnancies. A pre-medical evaluation by fertility clinics can help resolve this.
External Factors
Being exposed to chemicals, drugs, and radioactive rays for a prolonged period can affect your pregnancy and cause miscarriages. Further, smoking (passive or active) can cause fetal abnormalities—or even continuous consumption of alcohol and caffeine.
Other Causes
Age
Women aged 35 or more have a higher chance of recurrent miscarriages. It also depends on the male's age.
A high number of previous miscarriages
If you've had failed pregnancies, the chances it will happen again are 40% higher than normal pregnancies.
Diagnosis
Understanding which of the above reasons is causing recurrent miscarriages in your case has to be identified to provide a solution. Self-diagnosis is never advised. So to begin, you can request an appointment quickly at Apollo Fertility, Brookfield, for a consultation by calling 1860-500-4424.
Next, the specialist will request to analyze your previous records or medical history to gain insights and understand the underlying issues.
If the cause is genetic abnormalities, they might recommend a karyotype test, which detects and assesses the size, structure, and quantity of chromosomes in a specimen of body cells.
An MRI, sonography or ultrasound might be suggested if the doctor suspects a uterine abnormality.
If a doctor is concerned with the anatomy of the uterus, an ultrasound or an X-ray of the oviduct and uterus cavity can reveal the cause.
Doctors can use blood testing to identify immune response issues.
A definite diagnosis can be made in about 50% of individuals assessed for recurrent miscarriage. A diagnosis is crucial to eliminate any future chances of pregnancy losses.
Treatments and Remedies
Treatments are suggested as per the diagnosis and the suspicion of the doctor. Different viable treatments are possible to fix each one of the causes.
- Uterine abnormalities can, most of the time, only be altered through surgical procedures. Changing the internal uterine shape can frequently reduce the likelihood of miscarriage. The hysteroscope is a device with a camera inserted in the vagina to repair the uterus lining. Recovery typically takes a week after.
- Low-dose aspirin and heparin may be used to treat women with autoimmune or clotting issues. These medications can be used to reduce the chance of miscarriage when pregnant. These medications have repercussions, so you should consult a doctor before using them.
- A normal, full-term pregnancy is more likely if underlying medical issues like diabetes, and thyroid dysfunction, are treated.
- To determine whether the parents have chromosomal translocations, the parents' blood can be examined (karyotyped). The physician could suggest genetic counselling if a genetic issue is discovered.
About less than 5 in 100 conceiving women experience such distress.
It is best to contact a specialist as soon as you realize you've had a miscarriage.
More than half of women who experience recurrent miscarriages have no known reason for the spontaneous miscarriage.
If the reason for your recurrent miscarriages can be pinpointed, your doctor may provide a remedy that deals with the issue
Before attempting again, you might want to give your emotions time to heal. Nevertheless, it only takes two weeks after an early miscarriage to ovulate and become pregnant. The ideal time to try again should be discussed with your gynaecologist.
