Recurrent miscarriage is defined as experiencing three or more consecutive pregnancy losses before 20 weeks. While emotionally challenging, many couples go on to have successful pregnancies with the right care.
Possible Causes
- Genetic Factors: Chromosomal abnormalities in the embryo (most common cause).
- Uterine Abnormalities: Shape issues (e.g., septum) or fibroids.
- Hormonal Imbalances: Thyroid disorders, diabetes, or low progesterone.
- Blood Clotting Disorders: Conditions like antiphospholipid syndrome (immune-related clotting).
- Lifestyle Factors: Smoking, excessive alcohol, obesity, or extreme stress.
- Unexplained: No clear cause found (about 50% of cases).
Diagnostic Tests
- Blood Tests: Check hormones, blood clotting, thyroid function, and immune system.
- Genetic Testing: Of both parents and pregnancy tissue (if available).
- Imaging: Ultrasound or MRI to examine the uterus.
- Hysteroscopy: A camera to view the uterine cavity.
Treatment Options
Tailored to the cause:
- Medications:
- Blood thinners (e.g., aspirin/heparin) for clotting disorders.
- Progesterone supplements for hormonal support.
- Lifestyle Changes: Healthy weight, quitting smoking/alcohol, stress management.
- Supportive Care: Regular monitoring in early pregnancy.
- Surgery: Correct uterine abnormalities (e.g., septum removal).
Frequently Asked Questions
Q: Can stress cause recurrent miscarriage?
A: No. Stress doesn’t directly cause miscarriage, though emotional well-being matters.
Q: Are my chances better if no cause is found?
A: Yes! Unexplained cases often have positive outcomes with supportive care.
Q: Should I try again?
A: Discuss readiness with your doctor, but many couples choose to try again with guidance.
Q: Is IVF an option?
A: IVF with genetic testing (PGT) may help if chromosomal issues are suspected.
eGynaecologist Advice:
- Consult your gynaecologist after two or more pregnancy losses
- Even if no cause is found, 65–70% of couples achieve a successful next pregnancy
- Professional support and counselling can help manage anxiety or depression.
- Consult your gynaecologist for preconception care and seek monitoring and early pregnancy care
