Understanding Recurrent Miscarriage
Identifying the Cause of Recurrent Miscarriage
It can be difficult to identify an exact cause of recurrent miscarriage but both fetal and maternal issues can lead to pregnancy loss. Recurrent miscarriage is also commonly referred to as recurrent pregnancy loss or habitual spontaneous abortions.
Chromosomal abnormalities play a role in most first trimester miscarriages, although such abnormalities don’t always result in miscarriage. Advanced maternal age increases this risk.
Other conditions linked to recurrent miscarriages include:
- Uterine abnormalities
- Hormonal problems
- Blood clotting issues that interfere with placental development
- Maternal diseases
- Maternal exposure to toxic substances
- Cervical factors
How Recurrent Miscarriage is Diagnosed
A thorough medical history and physical examination is required and testing may include the following:
- Reproductive System Exam – hysterosalpingogram, saline infusion sonography and/or hysteroscopy to identify uterine abnormalities
- Genetic screening – study chromosomes and genes of potential parents
- Immune System Evaluation – blood testing for thrombophilic disorders and antiphospholipid antibiodies
- Hormone Level Testing –monitoring of progesterone and thyroid hormone levels
Other testing may include metabolic studies and sperm evaluation.
Recurrent Miscarriage Treatment
Recommended treatment may include:
- Lifestyle changes, including folic acid supplements
- Medical treatment
- Surgical treatment
A majority of couples go on to experience successful pregnancies when an identifiable cause is treated or even when treatment is not required. Dallas Fort Worth Fertility Associates treats women with recurrent miscarriages in Southlake, Keller, Grapevine, Colleyville, Denton and their surrounding areas.