Miscarriages, also called involuntary abortions, occur from a variety of causes. They occur especially in the first trimester of pregnancy. In 70% of cases, they are due to genetic problems in the fetus.
When a woman has had several miscarriages, we call this condition recurrent pregnancy loss. For many women and couples, it can be a very difficult experience, but it does not mean that they cannot try again and that their next attempt will be successful.
In some cases, patients fear that they are sick or have caused the pregnancy loss. However, at a fertility clinic we try to explain that miscarriage is a naturally occurring and sometimes unexplained process.
If you have had recurrent miscarriages and want to get pregnant with the best chance of getting your baby, it is important to discuss your options with your doctor. He or she will tell you if you can continue to try naturally or if you need to resort to assisted reproduction.
Today we want to share with you some treatments used to reduce the risk of miscarriage and thus achieve a pregnancy:
Surgery can solve some problems in the womb such as:
The surgeon uses the hysteroscope, a special tool with a small camera, which is passed through the vagina and cervix to repair the inside of the uterus. The procedure usually takes a day. Recovery time is a few days to a week.
Women with autoimmune or clotting (thrombosis) diseases can be treated with low doses of anticoagulant medications, which can be taken during pregnancy to reduce the risk of miscarriage.
We do not recommend using these medications on your own and without a doctor’s recommendation, as they can create or aggravate bleeding problems, such as stomach ulcers.
Recurrent pregnancy loss may be related to other medical conditions. These include:
Treatment of medical conditions such as diabetes, thyroid dysfunction, or high levels of prolactin increases the chances of carrying a pregnancy to term.
In some miscarried couples, one partner may have a chromosomal translocation, defined as the displacement of a chromosome segment to a new location in the genome.
In most cases, this is due to alterations in the chromosome number in the embryos. By having this condition, the embryos suffer imbalances in their chromosome load, causing them to not develop properly or not implant in the uterus.
To detect this, the couple’s blood is analyzed. This allows us to know if there is a translocation. If a chromosomal problem is found, the doctor will recommend genetic counseling.
Another study that is recommended is preimplantation genetic diagnosis, to determine which embryos are chromosomally healthy and have a greater chance of implanting in the uterus and being born.
Although many couples with recurrent abortions can eventually conceive naturally, the doctor may suggest fertility treatments such as In Vitro Fertilization (IVF).
During IVF, the oocyte and sperm are joined in the laboratory and incubated to form embryos. Before being transferred to the uterus, the embryos are tested with a preimplantation genetic diagnosis to choose healthy embryos and increase the likelihood of a healthy pregnancy.
In general, what is healthy for a woman increases the chance of having a healthy pregnancy. As we’ve mentioned in other blog posts, limiting alcohol and caffeine intake can help. Also, being overweight is associated with an increased risk of miscarriage.
There is no evidence that stress, anxiety, or depression cause miscarriages. However, these problems are directly linked to a woman’s overall health. Counseling and psychological support help couples deal with the emotional pain of abortion and create an environment conducive to achieving a pregnancy.
We at Citmer want to help you. Get to know our clinic, in your first visit we can detect risks and know if an abortion can affect your chances of getting pregnant again.
If this is the case, we have the best technology to perform an IVF treatment with Preimplantation Genetic Diagnosis, which will improve the chance of your baby being born.