The repeat miscarriages occur when a woman suffers at least two miscarriages in a row. Or three, if these occur alternately with successful pregnancies.
These repeated abortions are a sample of infertility. Miscarriage and infertility are synonymous in medical terminology.
In usual clinical practice, despite a detailed study being carried out, sometimes the cause of these losses is not found.
Do not hesitate to contact us, in our consultations of Infertility and Sterility we serve women with these types of problems.
On Institute of Gynecology in Barcelona of Dr. Gómez Roig they are offered medical services
We also have psychological support that women affected by repeat abortions sometimes need. Health is important in all areas.
What is a recurrent or repeat abortion?
We doctors talk about recurrent miscarriage if a woman presents at least two abortions in a row, or three that alternate with normal pregnancies.
Un spontaneous abortion, unprovoked, occurs when a pregnancy ends involuntarily before reaching the 20th week of gestation.
Fertility includes the two concepts of sterility and infertility:
- esterilidad It is the inability to get pregnant.
- Infertility It is when there are no problems getting pregnant, but the pregnancy is not successful.
What are the causes of recurrent miscarriages?
Among the causes that cause abortions recurrent spontaneous we find: genetic, anatomical, infectious problems. Also coagulation such as thrombophilias, immunological and endocrine factors related to hormones.
Going into more detail in repeat miscarriages, we explain some of the factors involved:
Genetic factors
They are problems that appear in the chromosomes or genes of the baby while it is growing inside the woman's womb.
Chromosomes are cell structures that contain thousands of genes.
Most of the problems that appear in the chromosomes tend to happen by chance.
However, some cases are hereditary and occur because the mother or father has a problem with the chromosomes. These factors are more frequent in older women. A Older, more risk.
anatomical factors
There are pathological variants that can change the external and internal shape of the uterus.
There are several variations of normality and each one must be treated individually. Not all anomalies have the same implications or treatments.
Autoimmune diseases of the mother
These types of diseases affect the defenses that are necessary to fight infections.
On the other hand, immune defenses or factors can attack and affect the healthy tissues of the body.
Other women's diseases
Other health problems can affect fertility. Examples of this are diabetes, thyroid disease, blood clotting problems or hormonal problems.
Despite all the available studies, in many cases it is not known why recurrent miscarriages occur.
For this reason, having well-known specialists with extensive experience in this area is very important.
How can I find out why I have repeat miscarriages?
The doctor, to find out why a woman has recurrent miscarriages, has several examinations and tests to carry out the study:
Detailed medical history
Knowing the background of the woman and her partner is important to approach the case correctly.
Knowing about previous pregnancies, menstrual periods and previous illnesses can explain some of the possible causes of infertility.
Physical exploration
An physical exploration performed by a specialist doctor. A gynecological examination with pelvic examination is included in the usual study.
Blood Tests
It is recommended to study with blood test the immune system that represents the levels of cells that defend women against infections.
Blood clotting and hormone levels are also studied. At the same time, the presence of thyroid disease or diabetes is ruled out.
On the other hand, other complementary tests are usually performed to determine the shape and functionality of the uterus:
Gynecological ultrasound
La gynecological ultrasound of the uterus provides clear images of its shape and anatomy.
Pathologies such as polyps, fibroids or fibroids, ovarian cysts are seen through this test.
hysterosopia
La hysterosopia It is an exploration that is carried out to visualize the uterus from the inside.
A thin tube, called hysteroscope, with a camera and a light at the end through the vagina. The hysteroscope is passed through the vagina until it reaches the inside of the uterus.
This test allows us to see if there are septa, polyps, fibroids or other pathology.
Genetic Analysis
With the genetic analysis and the study of the chromosomes of the woman and her partner we can see if there are subtle changes in the chromosomes of any member of the couple.
These can favor the existence of recurrent miscarriages. In cases where an abnormality is detected, you will be referred to a specialist in genetics to be informed correctly.
Depending on the particular case of each couple, it is sometimes necessary to request other tests.
What is the treatment for repeat pregnancy losses?
Treatment of repeat miscarriages is solve the factors or causes related to the problem.
For this reason, carrying out a good study by an expert specialist is essential.
When the detected problems are addressed, the possibility of a successful pregnancy increases significantly.
- Endocrine or hormonal problems are usually solved with medication.
- Changes in the anatomy of the uterus are sometimes an indication for surgical intervention.
- Women's diseases, for example, hyperthyroidism, are treated by the specialist on a case-by-case basis.
Any care that improves the factors involved improves the results in repeat abortions.
Can anything be done to prevent infertility?
To prevent infertility There are no proven safe medications or treatments. Despite this, always favoring healthy behaviors is beneficial.
- Avoiding the consumption of cigarettes, alcohol, caffeine could help. Not taking drugs or medicines not prescribed by a doctor is advisable.
- Maintaining an adequate weight, resting well, playing sports and avoiding stress should also be considered.
gynecological check-ups They help to know the state of health of the woman, as well as to prevent diseases related to fertility.
Having a referral specialist doctor is important.
Will I be able to have a baby one day?
Most of the time, women who have recurrent miscarriages end up with a successful pregnancy and a future baby.
It is recommended that women with previous difficulties in achieving a successful pregnancy See a specialist for a positive pregnancy test.
The obstetrician knows what is the best medical management in these cases. If you have any questions contact us. We care about your health and well-being.
Should I request psychological help if I am affected?
Infertility, like sterility, can cause a change in emotions, such as anxiety, depression, anger, and shame. Sometimes a sense of guilt appears before the other member of the couple.
Both men and women can suffer from these problems.
For these reasons, requesting and obtaining an adequate Psychological Support It can help a lot in these situations.
El psychological discomfort it is more frequently associated with unfavorable outcomes.
Emotional well-being is just as important as physical health.
On Gynecology Institute Dra. Gómez Roig, located in Barcelona, we assure you specialized assistance, with the best existing experts in repeat miscarriages.
At the same time we accompany you with humanity, and we offer you good psychological support if you need it. Trust us.
Adaptation UptoDate 2019
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- About the Author
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Head of the Obstetrics and Gynecology Service at the Sant Joan de Déu Hospital in Barcelona. Associate Professor of Obstetrics and Gynecology and Coordinator of the Sixth Course of Medicine at the University of Barcelona, UB. Director of the Dra. Gómez Roig Institute and Coordinator of Obstetric and Gynecological Processes at the Corachan Clinic in Barcelona.