Recurrent Miscarriages

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Recurrent miscarriages: causes, signs, and treatment

Pregnancy failure has become one of the most commonly experienced complications among women around the world. There is a topic that has never been openly discussed for a long time, namely recurrent miscarriages, which bring pain and suffering and have an impact on emotional well-being for those who want to have children.

At Seeds of Innocens IVF, we recognize the importance of various fertility journeys, and one of them is associated with recurrent miscarriage, which is hard both physically and emotionally, and our staff is always there to guide you along your way.

recurrent miscarriage ?

According to the definition, recurrent miscarriage occurs when there have been three pregnancy losses within 24 weeks of pregnancy. It can be a tough journey to take, but remember, you are not the only one to face such difficulties.

What causes recurrent miscarriages?

The factors responsible for recurrent miscarriages are multifarious and may comprise hormonal imbalance, uterine structure anomalies, infections, genetic anomalies, autoimmune diseases, and older age.

Often, no cause is evident, which might itself be a source of despair.

The following are some of the factors behind recurrent miscarriages:

Genetics: With increasing age, the eggs become less competent; hence, embryos with chromosomal abnormalities will be more. In addition, about 2-5% of couples might have congenital genetic disorders leading to anomalous embryos.
Clotting problems (thrombophilia): The most common thrombophilia condition found among women experiencing recurrent miscarriages is antiphospholipid syndrome (APS). It affects the flow of blood in the uterus, and thus, it affects the embedding of the embryo.
Abnormalities of the uterus: The physical structure of the uterus (for example, septate or bicornuate uterus) might affect the shape of the womb where the fetus develops.
Incompetent cervix: Incompetent cervix leads to dilation and rupture of the amniotic membranes and mid-trimester miscarriages.
Endocrine disorders: Poorly regulated diabetes and hypo- or hyperthyroidism might lead to recurrent miscarriages.
Causes of miscarriage related to immunity :There is a group of women who suffer from recurrent miscarriages, and they have high or low NK cells in their womb. But there is no standard level that can be considered normal, nor is there any standard way of treating this condition.
A lack of healthy bacteria (Lactobacillus) or having unhealthy bacteria in the womb can also cause miscarriages.

Sometimes finding the cause of a miscarriage can be difficult, as the cause remains unknown in roughly half the cases. It is vital that you consult a specialist if you suffer from recurrent miscarriages.

Your doctor will run tests like a blood test, genetic tests, and even ultrasounds to find the cause of your miscarriage and design a course of action.

What are the symptoms of recurrent miscarriages?

The symptoms experienced during a miscarriage depend on the point during pregnancy where the miscarriage occurred. Some might only experience minor cramps and light bleeding, while others might experience severe symptoms like excessive bleeding and severe cramps.

How do you treat recurrent miscarriage?

The treatment for recurrent miscarriage would depend on the cause of the problem. You might be offered blood thinners if your recurrent miscarriage has something to do with clotting disorders or drugs for endocrine problems. Or, your doctor may opt for simply monitoring and intervention.

In case the cause remains unknown, your practitioner may advise taking progesterone supplements and monitoring during pregnancy.

How does progesterone help with recurrent miscarriage?

One of the methods to deal with recurrent miscarriage is taking progesterone – a hormone that can significantly increase the chances for successful pregnancy.

According to the results of the PRISM trial, which involved women with recurrent miscarriages who bled and took progesterone, the live birth rates became higher.

In particular, in women who previously miscarried at least three times.

In case you've ever had a miscarriage before and have begun to bleed, you should talk to your doctor about the possibility of receiving progesterone therapy.

Coping strategies for dealing with repeated miscarriages

It's not only physically demanding; it's emotionally demanding too. The grief, sadness, and anxiety you may be feeling are all normal reactions to your loss, and you shouldn't deny yourself permission to process your emotions.

You're not on this journey alone, and there's always help for you at Seeds of Innocens IVF.