When a woman has to suffer multiple miscarriages in her attempts to earn motherhood, it is called a recurrent pregnancy loss. If she fails even after the third attempt, doctor advises intricate physical examination. Several tests are then required to carry out to investigate the exact causes.
Clinically, it is defined as an involuntary ending of pregnancy within 20 weeks. The clinically-recognized pregnancy are those pregnancies involving a USG test for recognition. It can also be defined as that type of pregnancy where pregnancy tissues were identified while finding the causes of a miscarriage.
It is found that most of the miscarriages happened when abnormal amount of chromosome is received by an embryo. This could be a genetic problem too. In the cases of genetic issues, no apparent medical condition is diagnosed. But, researchers have found that pregnancy miscarriage becomes most common among women who have attempted for motherhood in increased ages for reproduction.
Sometimes, abnormality in the uterus area might also cause miscarriages. This type of pregnancy miscarriage may cause due to poor supply of blood causing inflammation. There are women who born with an irregularly shaped uterus. These types of abnormal uterus might also be caused due to uncontrolled and flamboyant lifestyle.
The final and most commonly found factors behind such miscarriages are environmental issues, stress and occupational hazards.
Issues in reproductive organs
Doctors say that existence of some congenital problems in uterus may cause repeated miscarriages. Among the various factors, the most common is a separate uterus. This happens when the uterus or the egg-carrier is divided into two separate sections and is divided by a wall of tissue.
Another reason that has been traced for causing repeated miscarriages is the Asherman Syndrome. In such case, scarring and adhesions are formed in the uterus. This symptom might even arise before a woman comes to know about her pregnancy. Further researches in this aspect have found that the Fibroids and Polyps are more responsible in such cases.
How the risk enhances?
The chances of pregnancy miscarriage might be increased for women having complicated medical conditions. One of these is the rise of Antiphospholipid syndrome. This is an autoimmune disorder where a person’s immune system makes antibodies in places where these have no real requirement. The formation of antibody in certain that are involved in normal blood clotting could give rise to repeated miscarriages. It may even cause fatal death of the victim.
Another major cause is the growth of Diabetes Mellitus where high level of glucose is formed in blood. Women, who are habituated in ignoring this killer disease, pose a threat to their pregnancy besides bringing risk to their life also.
Treatment for Recurrent Pregnancy Loss
The miscarriage treatment involves detailed medical tests followed by treatment in parity with the diagnosis. The physician takes a detailed medical, surgical, family, and genetic history of the patient. This, along with the findings of physical examination forms the base of such treatment. The tests involved karyotype analysis of the partners. The karyotype analysis constitutes the study of the chromosomal, as well as genetic make-up of a person. The inherent purpose of such examination is to find abnormalities in the parents that could be passed on to the offspring. The level of non-tolerance by the offspring might have caused the miscarriages. This type of analysis is held only when other common abnormalities are not seen to be prevalent.
The uterus as well as the uterine cavity within womb is also subjected to evaluation. This type of assessment can be forwarded by several methods. These involve ultrasound, saline ultrasound, hysterosalpingogram X-ray, magnetic resonance imaging or MRI, and hysteroscopy. The USG Tests offers give information about the shape of the uterus and whether any fibroid is present within. Saline ultrasound involves injection of the fluid within uterus and makes diagnosis of abnormalities within uterus possible. The hysterosalpingogram X-ray helps the doctor an acute evaluation of the uterus and tubes too. The X-ray helps to find out whether the tubes are open. The hysteroscopy involves the insertion of a camera through the cervix into the uterus. The doctor can directly see the inside of the uterus, If he finds the existence of any polyp or fibroid and applies surgical method to remove the same.
The uterine septum is a particular abnormality that the woman carries since birth. The magnetic resonance imaging method is deployed to sketch the location of fibroids. This helps in finding the abnormalities in the shape of the uterus.
In the cases of karyoptic abnormality, the cases are referred for genetic counselling. The specialist there discusses about the genetic abnormality. He also covers the aspect of future probability of the problem being recurrent.
In the cases of uterine abnormality, the exact nature of the defect is ascertained and treatment is offered. In most of the cases, surgery is recommended. Certain medicines are prescribed in the cases of antiphospolipid syndrome. The medicines help minimizing blood clotting. Medication is offered for the cases where thyroid dysfunction or diabetes are recommended as causes of recurrent pregnancy.
Frequently Asked Questions
In the earlier times, care providers suggest and recommend for a waiting period of 3 months before another trial for pregnancy after one miscarriage. The recent studies differ and these states that a trial for conceive may increase the chances of pregnancy. The trials made within 3 months have demonstrated best results.
The loss of pregnancy is more than often a onetime occurrence. But it has also been proven that, loss of one pregnancy can enhance the risk of losing another pregnancy too.
The pregnant women sometimes come across bleeding from vagina or cramp in the spots around vagina. This type of light bleeding is often referred as Spotting.
Women may have to experience several spotting or mild cramping in during pregnancy. But, these normally do not indicate towards loss of pregnancy. Researches suggest that these type of symptoms normally result from infection.
RPL or Recurring Pregnancy Loss is referred to the incident of repeated miscarriage. When loss of pregnancy occurs to a woman in twice of thrice, she becomes a subject of RPL. This can happen when there are issues in parent genes. Such issues include structural problems, such as scarring or fibroids in the uterus; or presence of certain medical conditions in the mother.