Recurrent Pregnancy Loss
Miscarriage is defined as the loss of a pregnancy before 20 weeks of gestation. Nearly 20% of pregnancies end in miscarriage, most often within the first 12 weeks. If you have had two or more consecutive pregnancy losses, you may be struggling with recurrent miscarriage, or habitual pregnancy loss.
Possible causes of miscarriage may include the following reasons, which may increase a woman’s risk for miscarriage:
- genetic defect
- abnormally-shaped uterus
- uterine fibroids
- scar tissue
- hormonal imbalances
- illnesses, such as diabetes,
- mature age
- habits such as smoking, caffeine, and alcohol
- the use of certain medications
illnesses, such as diabetes,
habits such as smoking, caffeine, and alcohol
the use of certain medications
Preventing Recurrent Miscarriages
There are a number of tests that your physician may run, in addition to reviewing your medical history and conducting a pelvic exam to diagnose the possible cause of your recurrent miscarriages. These tests may include a mapping of your chromosomes to detect genetic defects, uterine evaluation, blood tests to detect immune system abnormalities and measure hormone levels, a vaginal ultrasound and/or an endometrial biopsy. Once the cause has been determined, your fertility specialist will work with you to map out a treatment plan, which may include surgery to correct problems with the shape of the uterus or medication to correct immune problems and hormone imbalances.
With the latest advances in Pre-implantation Genetic Testing, pregnancy loss may be prevented and the causes discovered. Many miscarriages are the result of abnormalities in an embryo although it may not exhibit any physical characteristics under the microscope, but it may be discovered in a genetic test of a single cell excised from the embryo. Abnormal embryos will not be transferred back into the uterus for pregnancy. Only embryos tested normal may be transferred into the uterus.