It’s a demoralizing situation when one after another pregnancies are getting lost. Before going through the next planning, the couple really wants an answer for previous failures. There are many reasons involved in recurrent pregnancy loss. But sometimes it can be frustrating as all tests come out normal and no reasons are found.
It requires a systematic approach while dealing with these cases. All the possible factors are to be considered and it’s mandatory to undergo the tests as advised by fertility specialist or your treating doctor.
Various parameters may interfere as a cause of pregnancy loss or miscarriage. Let us know about them and how one can overcome these for the next planning.
When we know the reason, we can provide appropriate treatments to avoid these problems again.
Research has shown that even women with unexplained recurrent miscarriage are more likely to have a healthy pregnancy next time if they have supportive care at a specialist unit. This includes being able to have regular scans or to get support from the specialist team.
1. Sperm Abnormality
It is a common myth that – Miscarriage is always due to female factor.
However the fact is – Even abnormalities in sperm leads to recurrent miscarriage
Hence, sperm test/ semen analysis is equally important!
2. Poor Egg Quality
It is significant to know that egg quality testing – AMH (blood test) is must.
3. Uterine Factors
4. Thrombophilia
This is one of the majorly found reason for recurrent miscarriage. Here is one such case study.
- 35 year old female had history of miscarriage with IVF Conception.
- She was not properly evaluated in past.
- At Ova, after complete evaluation, reason was found out to be THROMBOPHILIA (coagulation disorder).
At Ova Fertility & Women Care –
- In addition to IVF, appropriate treatment was provided at Ova.
- Oral & Injectable blood thinners in adequate dosages were provided throughout the pregnancy.
The Outcome was A Healthy Baby.
5. Genetic Problems
Genetic problems in couple can lead to recurrent miscarriage
- Both have to be tested for Karyotype (complete chromosome study) – JUST A BLOOD TEST.
- If any abnormality is found – Genetic Counselling is must.
7. Progesterone Deficiency
Progesterone hormone deficiency is very common reason for miscarriage. Thereby, Progesterone hormone supplements are must along with other forms of treatment.
8. Hypertension/ Diabetes/ Abnormal Thyroid Levels
Before entering into pregnancy, health of a mother has to be optimized with respect to Blood pressure, thyroid, sugar, etc.
9. Unexplained Reasons
50% of the time, there is no reason found even after doing all tests. Hence, stepwise approach is very crucial.
Let’s see one such case study –
- 35 years old female with history of 3 miscarriage and all the tests were normal including the genetics.
- She conceived naturally at Ova.
And delivered healthy baby under following guidance –
- Progesterone support (oral + injectable)
- Blood thinners
- Counselling + support
Some bitter truths to keep in mind:
- A cause may not be found; when this happens it’s called ‘unexplained’.
- Even if a cause is found, it may not be treatable.
- Treatment may not lead to a successful pregnancy. This can happen if a pregnancy miscarries for a different reason than the one being treated.
Ray of Hope:
When we know the reason, we can provide appropriate treatments to avoid these problems again.
Research has shown that even women with unexplained recurrent miscarriage are more likely to have a healthy pregnancy next time if they have supportive care at a specialist unit. This includes being able to have regular scans or to get support from the specialist team.
M.S.,D.N.B.(OBGY)
MRCOG(UK)
Fellowship in Reproductive Medicine
Fertility Specialist
Ova Fertility and Women Care, Thane
