recurrent miscarriage

Category Surgery

Author drsoheilaarefi

Reading time

Published at 4 May 2025

What is recurrent miscarriage?

Recurrent miscarriage is defined as the loss of three or more consecutive pregnancies before the 20th week of gestation. This condition can be very upsetting and concerning, but it’s important to know that in many cases, the cause of recurrent miscarriage can be identified and treated.

Causes of Recurrent Miscarriage:

Various factors can contribute to recurrent miscarriage, some of which include:

♦ Genetic issues: Chromosomal abnormalities in the fetus can lead to miscarriage. This problem usually occurs during the first trimester of pregnancy.

♦ Uterine structural problems: An abnormally shaped uterus, such as the presence of a septum or fibroids, can cause recurrent miscarriage.

♦ Hormonal imbalances: Imbalances in hormones such as progesterone or thyroid hormones can increase the risk of miscarriage.

♦ Autoimmune diseases: In some women, the immune system mistakenly attacks the fetus, leading to miscarriage.

♦ Blood clotting disorders: Blood clotting issues can prevent sufficient blood flow to the fetus, resulting in miscarriage.

♦ Infections: Certain infections, such as sexually transmitted infections or uterine infections, can cause recurrent miscarriage.

♦ Lifestyle factors: Factors such as smoking, alcohol or drug use, obesity, and stress can increase the risk of miscarriage.

Diagnosis of Recurrent Miscarriage:

To determine the cause of recurrent miscarriage, a doctor may order various tests, including:

♦ Blood tests: To assess hormone levels, autoimmune antibodies, and blood clotting disorders.

♦ Ultrasound: To examine the structure of the uterus and detect any abnormalities.

♦ Hysteroscopy: To inspect the inside of the uterus and remove any abnormal tissue.

♦ Genetic testing: To identify chromosomal abnormalities in the fetus

Treatment for unexplained recurrent miscarriage:

Treatment for recurrent miscarriage depends on its underlying cause. Some treatment options include:

♦ Medication: To correct hormonal imbalances or blood clotting disorders.

♦ Surgery: To repair structural abnormalities of the uterus.

♦ IVF with PGD: In some cases, in vitro fertilization (IVF) combined with preimplantation genetic diagnosis (PGD) is used to select healthy embryos.

It’s important to know:
In many cases, the cause of recurrent miscarriage can be identified and treated.
If you have experienced recurrent miscarriage, it is essential to consult a gynecologist.
Proper follow-up and treatment can help you achieve a successful pregnancy in the future.

I hope this information is helpful. If you have any other questions, please feel free to ask

Unexplained Recurrent Miscarriage:

In many cases, the cause of recurrent miscarriage can be identified and treated.

However, in some instances, after conducting various tests, no specific cause for recurrent miscarriage is found. This type of recurrent miscarriage is referred to as unexplained recurrent pregnancy loss (URPL).

Possible Causes of Unexplained Recurrent Miscarriage:

Although the exact cause of unexplained recurrent miscarriage is not known, some possible contributing factors may include:

♦ Genetic problems: Chromosomal abnormalities in the fetus can lead to miscarriage. This usually occurs during the first trimester of pregnancy.

♦ Structural issues in the uterus: An abnormally shaped uterus, such as the presence of a septum or fibroids, can cause recurrent miscarriage.

♦ Hormonal imbalances: Imbalances in hormones like progesterone or thyroid hormones can increase the risk of miscarriage.

♦ Autoimmune diseases: In some women, the immune system mistakenly attacks the fetus, leading to miscarriage.

♦ Blood clotting disorders: Clotting issues can prevent sufficient blood flow to the fetus, resulting in miscarriage.

♦ Infections: Certain infections, such as sexually transmitted infections or uterine infections, can contribute to recurrent miscarriage.

♦ Lifestyle factors: Habits such as smoking, alcohol and drug use, obesity, and stress can increase the risk of miscarriage.

Diagnosis of Unexplained Recurrent Miscarriage:

To diagnose unexplained recurrent miscarriage, a doctor, after a thorough review of the medical history and conducting various tests, finds no specific cause for the miscarriages. These tests may include:

♦Blood tests: To check hormone levels, autoimmune antibodies, and blood clotting disorders.

♦Ultrasound: To examine the structure of the uterus and detect any abnormalities.

♦Hysteroscopy: To inspect the inside of the uterus and remove any abnormal tissue.

♦Genetic testing: To look for chromosomal abnormalities in the fetus.

Treatment for unexplained recurrent miscarriage:

Currently, there is no definitive treatment for unexplained recurrent miscarriage. However, your doctor may recommend some treatments to help you have a successful pregnancy in the future, including:

♦ Careful monitoring of pregnancy: During pregnancy, your doctor will monitor you closely to quickly diagnose and treat any potential problems.
♦ Emotional support: Recurrent miscarriage can be very emotionally difficult. Emotional support from family, friends, or a support group can help you cope with this experience.

It is important to know that:

If you have experienced unexplained recurrent miscarriage, it is important to talk to your doctor about treatment options and the likelihood of a successful pregnancy in the future.

In many cases, women who have experienced unexplained recurrent miscarriage can still have a successful pregnancy.