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Recurrent Miscarriage

Infertility

Dr. Smriti

Sep 13, 2021

When you hear the word “Recurrent miscarriage” for the first time, what pops up in your head? If you constantly have two-three miscarriages, the doctor name it as recurrent miscarriage. Recurrent miscarriage refers to pregnancy loss or defined as two to three times loss of a fetus before the 20 weeks of gestation which means before the fetus can live inside the womb of women. 

About 15-20% of women suffer from the issue of recurrent miscarriage. Most miscarriage cases happen in the first trimester and affect the subsequent pregnancies of the women. Having miscarriages, one after the other, drains out energy and hope in women, and she starts trusting the fact that she can’t have a baby. Women who have experienced a miscarriage at once might have the risk of miscarriage in their next pregnancy, and it increases as time and age progress.

In this article, I will tell you how you can avoid miscarriages and the causes of which women face the problem of recurrent miscarriage. Apart from this, I will tell you the treatment to cure the issues of recurrent miscarriage.

What are the Causes of recurrent miscarriage?

If you are wondering about Recurrent miscarriage causes, then no worries!! This section of my article will provide you with an in-depth understanding of it. There are several possible reasons due to which women face the problems of recurrent miscarriages. Some of them are listed below:

Anatomical Causes

There is something physically different about the uterus of women, which reduces the chances of having a successful pregnancy. It is due to her abnormal shape of the uterus, or the positioning of her cervix is weak due to which it is unable to hold successful pregnancy.

Hormonal/Endocrine Causes

Hormonal problems may lead to the issues of recurrent miscarriage. The deficiency of progesterone or low progesterone is considered as one of the underlying causes of recurrent miscarriage.

Genetic Causes

The case of recurrent miscarriage is possible due to chromosomal order. Men and women having more than 35 years of age have a greater tendency to produce eggs or sperms with chromosomal abnormalities.

Blood Cot Tendencies

Antiphospholipid Syndrome is the condition that leads to clotting of the blood, which further increase the chance of recurrent miscarriage. Thrombophilia is a condition in which blood clots are more likely to be than normal, leading to recurrent miscarriage.

Vaginal Infection

The vaginal infection or bacterial vaginosis enhances the issues of late miscarriages and premature birth.

Polycystic Ovaries

This is one of the major factors that lead to the problem of recurrent miscarriages.

What to do after recurrent miscarriage?

Women who face the issue of recurrent miscarriage may undergo several emotional challenges such as anxiety and depression. They might feel jitters to think about the prospect of becoming pregnant again or embracing their dreams of parenthood. In addition to this,  women even might experience relationship strain with their male partners. 

Due to multiple miscarriages, tension and relationship problems might evolve between the couples. However, it is seen that men cope with the issues of miscarriage quickly compared to females who have emotionally lost their energy and hope of embracing motherhood again.

This is one of the weak moments that appear in the life of women when she misunderstands men and believes that they are not caring about their feeling. In contrast, men feel that women are constantly dwelling on one problem, which began to grow problems between men and women.

Apart from emotional concerns, there might be physical factors as well. For example, after suffering the problem of multiple miscarriages, women will experience several changes in their body such as hormonal changes, blood clotting disorders, uterine shape problems etc., which make their body weak.

After undergoing several miscarriages, women must visit a miscarriage specialist or reproductive endocrinologist to know the underlying cause of their miscarriage and how can they cure it. The couple should gain information regarding treatments to cure miscarriage despite losing hope. They need to support each other in the disturbing moments of their life and solve this issue.

How to avoid recurrent miscarriage?

If you are tired of experiencing a recurrent miscarriage and want to fulfil your dream of motherhood, read this section of my article, which will tell how to prevent miscarriage and adapt changes for a successful pregnancy.

 A number of pregnancies of women result in miscarriages. There is a number of factors that increases the chances of women’s miscarriage. However, doctors feel that change in the lifestyle of women can avoid or decrease the chances of miscarriage and results in healthy and successful pregnancies.

There are three methods through which women can prevent the chances of miscarriages which are listed below:

Talk to a Doctor

Before you are planning to conceive a baby, it is essential that you make an appointment with the doctor to discuss any problem which might have arisen in your previous pregnancy. You can ask the doctor to check issues such as chromosome abnormalities, high androgen levels, blood-clotting and various other factors that increases the risk of miscarriages.

You need to speak honestly and openly about your medical history, family history and show your eagerness about becoming a parent so that doctor can suggest appropriate testing and treatment options.

Go through Blood Test

You need to go through a blood test to check your blood type. If your blood type tests are negative for RH-factor, then you need to take a low dose of RhoGAM so that you can prevent your future pregnancies and reduce the issue of Rh incompatibility.

Treat your Imbalance Hormones

Polycystic Ovarian Syndrome and Endometriosis are the conditions that lead to the problem of hormonal imbalance. If you experience hormonal imbalance in your previous pregnancy, then ask your doctor to do a test of hormones. Some symptoms of hormonal imbalance include such as weight gain, irritability, abnormally heavy periods, headaches etc.

 The hormonal imbalance can be treated through medication or under the therapy of supervised doctors. However, it may further lead to miscarriages. One of the major factors of miscarriage can be the low level of progesterone. The progesterone hormone is a tablet that helps in the first trimester of pregnancy.

Test your chromosomes

Chromosomal abnormalities is one of the leading factors of recurrent miscarriage. You can ask your doctor to analyse your chromosomes and how they can treat them.

Talk about your current medications

You need to inform the doctor about your current medications and whether they are safe for you to conceive a baby or have a harmful effect on your health.

Change your lifestyle

To reduce the chances of recurrent miscarriages and expand the chances of a successful pregnancy, you need to change your daily routine, such as limiting alcohol and smoking, which reduces the chances of a successful pregnancy. 

Before consuming any supplements while planning to conceive or to maintain a healthy pregnancy, ask your doctor and his/her advice on dosages. Take proper rest and an adequate amount of sleep during your pregnancy. If you feel any kind of complication, consult your doctor immediately to avoid the chances of recurrent miscarriages.

If you are planning to embrace motherhood or during your pregnancy phrase, reduce the risk of caffeine. Do not intake coffee, tea and soda during your pregnancy phrase. In addition, do not take undue stress on yourself which may lead to miscarriage.

Recurrent miscarriage happens due to mental health problems such as stress, anxiety and depression. To avoid this, you need to consult the doctor or talk to other women who are dealing with the same issue or take therapy to reduce your stress and to make yourself happy. 

You can talk to your friends and family to decrease the levels of stress, anxiety and depression and to bring peace and calmness to your mind.

How to overcome recurrent miscarriages?

To overcome the issues of recurrent miscarriage, you need to avoid taking stress or feel guilty about anything that may negatively impact your health. In addition, if you are dealing with the emotional aftermath consequences of miscarriage, you need to talk to your family and friends and express your emotions and feelings to them.

You need to provide relaxation and calmness to your body for having positive chances of pregnancy. You can start excising meditation early in the morning to calm your inner peace and take ten minutes of a deep breath in stressful situations. Began with your meditation and started relaxing your muscles in your toes and give proper attention to everybody part at a time until you reach your head.

If you have faced the problem of recurrent miscarriage, it is most likely to feel anxiety and depression. These are two mental health issues that may hinder your further pregnancies. To avoid anxiety and depression, you can sit with your family and friends and express your emotions. Try to live in a happy, peaceful and stress-free environment that will improve your health and helps you to develop a positive mindset.

What is the treatment to cure Recurrent Miscarriage?

To cure the problems of recurrent miscarriage, you can consult the Best doctors for recurrent miscarriage, who will analyze the underlying cause of the problem and suggest treatment to cure it. Then, based on its causes, Recurrent Miscarriage treatment will be adopted by the doctor to cure your problem.

Anatomic Recurrent Miscarriage Treatment

Anatomic causes are related to the abnormal shape of the uterus, which increases the risk of miscarriages. The abnormal lining of the uterus, uterus abnormalities, uterine scar issues, uterine fibroids is some of the symptoms of recurrent anatomic miscarriages. This treatment is done to treat the Anatomic causes of recurrent miscarriages. The abnormality of the uterus or weak lining of the cervix can be treated by inserting a stitch.

Genetics Recurrent Miscarriage Treatment

After analyzing the chromosomes of both males and females, doctors can check whether a Genetics problem exists between them or not. The chromosomal abnormalities may affect the normal pregnancy and require doctors to do genetic testing of both embryos. In that case, the doctor may consider IVF for recurrent miscarriage.

Autoimmune Recurrent Miscarriage Treatment

If the women are experiencing blood clotting, it leads to pregnancy loss. Therefore, the miscarriage specialist will conduct this treatment to stop excessive blood clotting.

Change in Lifestyle and Daily Routines

Both males and females are advised to change their daily routine and improve the bad habits such as smoking, drinking alcohol, being overweight, etc., which contributes to the issues of recurrent miscarriages.

Recurrent miscarriage treatment is based on their causes, but the most effective treatment to cure recurrent miscarriage is In Vitro Fertilization. During the IVF process, chromosomes abnormalities and embryos genetics are treated, and normal embryos would be used to expand the chances of pregnancy.

However, according to researches, recurrent miscarriage successful pregnancy is possible due to comprehensive and evaluative treatment. About 80% of women who have suffered more than two miscarriages can have a successful pregnancy. 

40-50% of cases of miscarriages are such that the underlying reason for miscarriage is not identifiable. Still, with the use of advanced technology, the risk of miscarriage is reduced because thyroid dysfunction, endocrine problems, hypercoagulability, blood-clotting etc., can be cured with effective therapies.

Conclusion

I hope that the article mentioned above must have given you an in-depth understanding of the problems of recurrent miscarriage and how you can cure this problem. This article will tell you how to avoid or prevent the issues of miscarriage and to overcome them.

FAQs

Is it common to have a recurrent miscarriage?

Recurrent Miscarriage is not a common problem. If a woman has experienced more than one miscarriage, then it is said the woman has recurrent miscarriages. About 50-70% of the population faces the problem of recurrent miscarriages.

 Is it possible to diagnosed recurrent miscarriage after two pregnancies?

The recurrent miscarriage can even be diagnosed after two pregnancies according to the guidelines of the USA and Europe. The loss of pregnancy in three rows before 24 weeks of pregnancies with no successful pregnancy happening between them is defined as recurrent miscarriage in the UK.

 Can IVF treatment cure the treatment of recurrent miscarriage?

If a recurrent miscarriage happens due to chromosome abnormalities, then IVF treatment can cure the issues of recurrent miscarriage. About 4% of recurrent miscarriages happen due to problems of chromosomal abnormalities.

References

Recurrent miscarriage – ScienceDirect

Recurrent Miscarriage | SpringerLink

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