Recurrent Miscarriages

What is a Recurrent Miscarriage?

Pregnancy is a time of excitement and anticipation for many couples, but for those who have experienced recurrent miscarriages, it can also be a time of heartache and frustration. Recurrent miscarriages are a heartbreaking experience for couples who are trying to start a family.

A miscarriage or abortion means the loss of a pregnancy before the 20th week. The causes of miscarriage include genetic abnormalities, hormonal imbalances, infections, and structural problems in the uterus. Some women may experience a single miscarriage, while others may have recurrent miscarriages, which is defined as two or more consecutive miscarriages. Miscarriages can be a physically and emotionally difficult experience for couples who are trying to start a family.

Causes of Recurrent Miscarriages

There are several potential causes of miscarriages, especially recurrent miscarriages including:

• Chromosomal Abnormalities: Chromosomal abnormalities in the fetus are a common cause of miscarriage, especially in the first trimester.
• Immune System Disorders: Some women may have an immune system that attacks and rejects the fetus, resulting in recurrent miscarriages. AntiPhospholipid Antibodies Syndrome (APLA) is an important problem which requires prompt diagnosis as well as targeted treatment both pre and post conception.
• Hormonal Imbalances: Hormonal imbalances, such as thyroid problems or polycystic ovary syndrome (PCOS) which may lead to poor quality oocytes, can also contribute to recurrent miscarriages.
• Structural Problems in the Uterus: Structural problems, such as uterine septae, uterine anomalies such as bicornuate or unicornuate uterus, presence of fibroids which indent the endometrium, short and incompetent cervix, can also cause recurrent miscarriages.

Symptoms of a Miscarriage

The signs of a miscarriage can vary depending on the stage of pregnancy and the underlying cause. 

Some common symptoms of a miscarriage include:

• Vaginal bleeding: This may be light or heavy, and can range from pink to bright red. This is a common sign of a miscarriage and is known as miscarriage bleeding.
• Back pain: Some women may experience lower back pain during a miscarriage.
• Cramping or abdominal pain: This can be like menstrual cramps and can range from mild to severe.
• Passing of tissue or clots: This may be accompanied by heavy bleeding and is a sign of a complete or incomplete miscarriage.
• Loss of pregnancy symptoms: Women may notice a decrease in the symptoms of pregnancy, such as a loss of nausea, vomiting, or breast tenderness.

Recurrent Miscarriage Treatment

Diagnosing the cause of miscarriages can be a complex process that involves a series of tests. 

These tests may include:

• Blood Tests: Blood tests can be used to check for hormonal imbalances, autoimmune disorders such as APLA profile, testing for thrombophilias, and other health conditions that may be contributing to the recurrent miscarriages.
• Ultrasound: Ultrasound is a commonly used tool for diagnosing problems in early pregnancy and recurrent miscarriages.
• Genetic Testing: Genetic testing can be used to determine if chromosomal abnormalities are causing the recurrent miscarriages.

Once the underlying cause of miscarriages has been determined, appropriate treatment can be recommended. Treatment options may include medication, surgery, or lifestyle changes.

Importance of Early Evaluation

Motherhood IVF & Fertility Centers provide evaluation and treatment services to couples who have experienced recurrent miscarriages. This includes a comprehensive evaluation to determine the underlying cause of the miscarriages, as well as appropriate treatments. The centers also provide support and counseling services to help couples cope with the emotional impact of recurrent miscarriages.