How to deal with repeated miscarriages
Around one percent of all women experience recurrent miscarriages. Doctors define this as “Loss of consecutive two or more 1st trimester or early second trimester pregnancies”.
Having one miscarriage can be disturbing for the couple, but having one after another is often a very traumatic experience. Women with repeated miscarriages can be reassured that their chance of having a healthy baby is the same as women who have never miscarried, says eminent gynecologist and fertility expert from Rupal Hospital, Dr. Rupal Nirav Shah.
Investigations to find out possible reasons for recurrent miscarriage are advisable after the third recurrent miscarriage, but in women of more than 30 years, investigations are advised even after two abortions. In more than 50% of cases, it’s impossible for doctors to identify the cause for recurrent miscarriage.
1. Hormonal: Polycystic ovaries, thyroid dysfunction
2. Blood clotting disorders
3. Genetic: anyone partner with an abnormal chromosome
4. Uterine problems: abnormally shaped uterus, intrauterine adhesions
5. Male Factor: abnormal DNA fragment in sperms
6. Poor quality eggs
7. Cervical weakness (Incompetence)
Causes 1 to 6 are usually responsible for first trimester miscarriages and 7 is responsible for the second trimester.
How to diagnose:
1. Hormonal and immunology blood workup
2. Genetic study of male and female and in selected cases of abortus.
3. 3D sonography, hysterosalpingography, or hysteroscopy to study the shape of the uterus
The over-prescribed TORCH infection test is not important to diagnose the cause for repeated miscarriage as this may be a cause for a single miscarriage.
What are the chances of having a healthy baby?
If your miscarriages are unexplained, then you have a good chance of having a successful pregnancy in the future. Close tender loving care (TLC) can increase your chances of a successful pregnancy. Many hormonal and immunological conditions are treatable. Your gynecologist is the best person to discuss about your chances of success.
When there is no reason found and you don’t want to take any chance, pre-implantation genetic screening is a good option in which selected cytogenetically normal embryos are transferred in the uterus to avoid bad news again with help of IVF treatment.
Sometimes repeated miscarriages are because of chromosomal abnormality in any of the partners, and then IVF with donor eggs or sperms is the best solution.
Contact Rupal Hospital, The best Infertility Hospital in Surat, to make your parenthood dream come true with the best IVF consultant in Surat.