Recurrent miscarriages can be classified as experiencing two or more consecutive pregnancy losses. When a pregnancy results in a loss before 20 weeks, it is a miscarriage.
Causes of Miscarriages
• Genetics
Almost 70% of pregnancy losses are a result of disorders in the chromosomal makeup of the embryo. And, when the developing embryo comes in contact with the genetic condition from either of the parents, it may result in miscarriage.
• Conditions which affect the uterus
Hormones play a very important role in regulating and syncing the embryo and lining the uterus. If there is a glitch in the interaction, it might result in a pregnancy loss.
• Problems with the Uterus
Polyps, fibroids, and other congenital defects can create complications in the pregnancy and even result in a loss. Performing an ultrasound or an x-ray can reveal the structural abnormalities. However, several abnormalities of the uterus can be rectified with the help of surgeries at Apollo Fertility.
• Conditions which affect the Immune System
Two antibodies, i.e. lupus anticoagulant (LAC) and anticardiolipin (ACA) are said to cause fetal death by clotting the circulation of the early placenta. It is known that there is a special connection between the uterus and the immune system. However, the exact reason is still unknown.
• Environmental factors
Smoking, caffeine, alcohol, intense workout can all lead to a miscarriage. However, it is not a proven fact, but pregnant women must avoid smoking, even the second-hand smoke, no more than two cups of coffee, and no alcohol use.
• Infections
A few infections, such as bacteria mycoplasma, ureaplasma, Chlamydia are suspected to cause miscarriages. Doctors at Apollo fertility will do an initial screening in order to eliminate them.
Tests and treatments for recurrent miscarriages
The doctors will first ask for your medical history, conduct a pelvic exam, they may even opt for one or more tests from the below list.
• Karyotype
This is the mapping of your chromosomes. It helps to identify any genetic defects.
• Hysterosalpingogram
In this procedure, the doctors will take your x-ray and a special dye is injected to check the shape of the insides of your uterus.
• Saline Sonohysterogram
In this procedure, sterile water is placed inside the uterus and a transvaginal ultrasound is performed. This procedure helps identify endometrial cavity abnormalities, such as polyps, fibroids, and scar tissue. This might increase the chances of pregnancy loss.
• Hysteroscopy
The doctors use a narrow fibreoptic telescope to look inside the uterus. They insert it into the uterus.
• Vaginal Ultrasound
This is a scan, which makes use of high-frequency sound waves to confirm if any defects are there in and around the uterus.
• Blood hormone levels
Here, blood tests are conducted to detect any abnormalities related to the hormone. These include; thyroid, prolactin, and progesterone.
• Endometrial Biopsy
In this procedure, the endometrial tissue is evaluated under the microscope to identify if any infections are present.
• Glucose Screening
This test is to check diabetes. If it is left untreated, it can result in a miscarriage.
• Antibodies Test
This test helps detect abnormalities with the immune system.
Once you get your test results, doctors at Apollo Fertility will come up with a customized treatment plan to rectify the same.
