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Treatment Options for Recurrent Miscarriages

Treatment Options for Recurrent Miscarriages

Pregnancy is an extremely fragile phase in a woman’s life. Often due to a variety of causes, known or unknown, Miscarriages occur. A miscarriage is the loss of the baby. Although it is not necessary that one miscarriage means will have another one if she tries again. Yet, there are some cases where miscarriage is recurrent. Recurrent pregnancy loss is the medical term for this (RPL). Two or more spontaneous pregnancy losses are considered recurrent miscarriages. If you’ve had two or more miscarriages, seek medical advice at the earliest. There are various treatment options that you can choose from with the help of your doctor. Continue reading to find out more about recurrent miscarriages treatment.

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Possible Causes Of Recurrent Miscarriages

A variety of genetic and environmental factors may be a possible cause of recurrent miscarriages. An abnormality in the genetic makeup of the embryo inherited from the parents might lead to miscarriage. Poor implantation of the embryo and unfavorable conditions of the uterus such as the presence of fibroid and polyps also cause recurrent miscarriage. Environmental and lifestyle factors such as intake of alcohol, smoking, and exposure to hazardous substances increase the chance of recurrent miscarriages.

The incidence of miscarriage increase by certain conditions, such as uncontrolled diabetes or thyroid disease, which have been linked to an increased risk of miscarriage in women. In addition, while women with Polycystic Ovarian Syndrome (PCOS) are more likely to experience spontaneous pregnancy loss, there is no evidence that the disorder is linked to recurrent pregnancy loss.

By clogging the circulation of the early placenta, two antibodies, lupus anticoagulant (LAC) and anticardiolipin (ACA), are claimed to induce embryonic mortality. It is well known that the uterus and the immune system have a particular relationship. The specific reason, though, is yet unknown.

Various Treatment Options For Recurrent Miscarriages

After running all the necessary tests and screenings and also determining the root cause of recurrent miscarriage, the doctor prescribes one of the treatments mentioned below.

1. Surgery

Uterine problems such as fibroids and polyps can all be fixed with surgery. Correcting the issues associated with the uterus can significantly reduce the risk of miscarriage. This is normally a one-day operation with a few days to a week of recovery time.

2. Genetic screening

As per statistics, at least one of the parents has a chromosomal rearrangement (translocation) in approximately 5% of RPL couples. If one of the parents has a translocation, this might result in chromosome imbalances in the fetus, making it more prone to recurrent miscarriages.

Karyotyping is suggested to rule out any doubts. In karyotyping, the proper number of chromosomes can be seen. If a chromosomal issue is discovered, the doctor may provide genetic counseling. In such cases, the doctor mostly advises conceiving through IVF as during IVF preimplantation genetic screening (PGS) is done. This allows for the selection of embryos with no translocations, increasing the chances of a healthy pregnancy.

3. Medications to manage blood-thinning

Low-dose aspirin and heparin may be used to treat women with autoimmune or clotting (thrombophilia) issues. These medications can be used to reduce the risk of miscarriage while pregnant.

4. Changes in lifestyle

Having a healthy lifestyle is beneficial for overall health. In general, a good lifestyle the chances of having a healthy pregnancy. Limiting alcohol, caffeine, smoking, and abstaining from illicit drugs (such as cocaine) reduces the risk of miscarriage. Being overweight has been related to an increased chance of miscarriage, thus maintaining a healthy weight can aid with pregnancy outcomes.

A psychological therapy and counseling can helping in coping with the emotional sorrow of miscarriage and create a healthy environment for a pregnancy.

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