Women who experience recurrent miscarriage are those who have had at least three consecutive miscarriages. Recurrent miscarriage is not only very stressful; it is emotionally draining for the couple involved.
You will be offered
- Advice and support during your pregnancy
- Comprehensive investigations
- A full range of treatment options depending on the cause of recurrent pregnancy loss
What causes recurrent pregnancy loss?
- Structural anomalies of the uterus (womb)
- Genetic problems
- Immunological problems
- Coagulation problems
- Hormonal problems
- Lifestyle factors
- Unexplained recurrent miscarriage. This accounts for about 50% of recurrent pregnancy losses. This diagnosis is made when all detailed investigations are normal. This is generally a good thing. Of couples with unexplained recurrent miscarriage, 60-70% will have a successful outcome with their next attempt
What investigations can you expect?
Both partners will need to be investigated. Some of the tests can take up to 6 weeks to return.
- A whole range of blood tests
- Hysteroscopy to evaluate the uterine cavity
- Uterine biopsy to test the lining of the uterus
- Semen tests to check the quality of the sperm
Management for recurrent miscarriage
If a specific cause for recurrent pregnancy loss is found, treatment can be initiated before or during the next pregnancy. The next pregnancy is a time of great anxiety and stress to both of you. You will be monitored closely during the first 12 weeks of your pregnancy. This will consist of weekly or fortnightly ultrasound examination and blood tests.