Recurrent miscarriage

Recurrent Miscarriage

Unfortunately, miscarriages are common, with one in six pregnancies ending before week 20. This is an unfortunate experience, and it is essential to determine if there is anything that can prevent future miscarriages.

Having people to support you is most important. That said, most women who experience a miscarriage will go on to have a baby, so keeping positive about future pregnancies is paramount. There will be “Brighter Days Ahead’

A small percentage of couples will experience more than one miscarriage. About 2% of women experience three or more consecutive early pregnancy losses. This is called recurrent miscarriage or recurrent pregnancy loss. Read on to learn how Dr Joseph and his team can help in situations where a recurrent miscarriage is present.

What causes a miscarriage?

Along with the age of the female, some of the causes of miscarriage include:

  • Random chromosome abnormalities,
  • Specific genetic abnormalities
  • Parental chromosome abnormalities (for example translocations)
  • Uterine abnormalities
  • Immune disorders
  • Hormone imbalances
  • Other medical conditions

In situations where a miscarriage has occurred, Dr Joseph will arrange all the relevant investigations to determine if he can do anything to prevent future miscarriages.

Reducing the risk of miscarriage

There are some options that may be suitable for you which can reduce your risk of miscarriage. However, an appointment with Dr Joseph will be required as a first step to assess your situation and determine the best path forward.

Some options to reduce the risk of miscarriage include:

Surgery

Some problems in the uterus (womb) can be rectified with surgery. Issues surrounding extra tissue that divides the uterus, fibroids or scar tissue can be addressed. By correcting the shape inside the uterus, we may lower the chance of miscarriage. A camera (hysteroscope) is passed through the vagina to repair the issue in the uterus.

Blood-thinning medicines

Women with an autoimmune issue may benefit  low-dose aspirin or clexane. When taken during pregnancy, these medications may lower the risk of a miscarriage. However, this may increase the chances of serious bleeding, so it is vital that you discuss your suitability for this pathway with Dr Joseph first.

Correction of other medical issues

A recurrent miscarriage may be related to a different medical problem, such as abnormal blood sugar levels, the thyroid gland, or high levels of the hormone prolactin. Treating these conditions may improve the chances of a successful full-term pregnancy.

Genetic screening

The translocation of chromosomes can cause fetuses with chromosome imbalances resulting in a higher chance of miscarriage. Bloodwork can be studied to identify a chromosomal problem. There are cases in which couples with translocations conceive a healthy pregnancy naturally, but fertility treatments, such as IVF, may be recommended to increase the chance of a healthy pregnancy.

Lifestyle Choices

Improving the chance of a healthy pregnancy can be done by stopping cigarette smoking and illicit drug use altogether and limiting alcohol and caffeine intake. it is also important to try to stay within a healthy weight.

How Dr Joseph Sgroi can help

Dr Joseph Sgroi is a private obstetrician, gynecologist and IVF fertility specialist who provides holistic medical care to support women who have experienced recurrent miscarriages. He also provides health and well-being support during pregnancy, childbirth, and fertility.

Dr Joseph focuses on obstetrics, gynecology, IVF, and male and female infertility, assisting women and couples to become pregnant by offering the best care and support throughout pregnancy and childbirth.

Dr Joseph Sgroi continually works to improve the outcomes for his patients while offering compassionate and caring support at both an emotional and medical level. Book an appointment for an assessment with Dr Joseph today to understand the next step in your pregnancy journey.

Frequently asked questions

Are problems with reproductive organs a cause of recurrent miscarriages?

Some congenital problems of the uterus have been linked to recurrent miscarriages. The most common of these associated with miscarriage is a septate uterus. In these situations, the uterus is partially divided by a wall of tissue.

A second issue, known as Asherman syndrome, sees adhesions and scarring form in the uterus, which can also cause recurrent miscarriages. The miscarriage will often occur before the woman even knows she is pregnant in these situations. Other conditions which may play a role in recurrent miscarriages are fibroids and polyps.

What are the chances that we won’t discover the cause of my recurrent miscarriages?

Roughly 50–75% of women will find no cause for their pregnancy loss. This frustrating situation may reveal certain clues as to what could be causing the issue, but no certain answer is found in these cases.

What can I do if I have a chromosome translocation?

Genetic counselling and genetic testing will clarify your options if you have a chromosome translocation. IVF with special testing called preimplantation genetic diagnosis is often used to select unaffected embryos.

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We‘re here to help. To find out more, contact our friendly staff.

Certainly, if you have been trying to conceive naturally for at least one year, you may have reason to be concerned.
You can make an appointment to come in and have a chat with us at the clinic if you have any concerns.

If you would like to book a consultation, please call on (03) 9416 1586, or click below to contact us.

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