Recurrent Miscarriage

Women who have experienced “recurrent miscarriage” are those who have experienced two or three or more consecutive spontaneous miscarriages.

Approximately 15% of pregnant women under 35 experience miscarriages. That number increases steadily with age. In fact, one in every two pregnancies for women over 40 ends in miscarriage.

Miscarriage is not only stressful, disappointing, and emotionally draining for the couple involved, it is also the beginning of what may become a long journey with infertility.

What is recurrent miscarriage?

Recurrent miscarriage is the occurrence of two or three consecutive pregnancy losses prior to 20 weeks pregnancy.

What are the causes of recurrent miscarriage?

Approximately 50-65% of couples will not have an identifiable cause of recurrent miscarriage. Of couples that do have an identifiable cause, the reason may be genetic, immune disorder, clotting disorder, anatomical problems with the reproductive tract, or hormonal imbalances.

What is the treatment for recurrent miscarriage?

When there is no identifiable cause, treatment consists of close surveillance of the pregnancy through blood and ultrasound testing. Successful pregnancies without treatment occurs 60-75% of the time. When a cause is identified, treatment will vary depending on the cause.

What causes miscarriage?

There are six major causes of miscarriage: Uterine abnormalities, Genetic disease, Endocrine disorders, Clotting disorders, Infection and Environmental factors.  In addition, diseases of the thyroid gland (hyperthyroidism or hypothyroidism), elevated prolactin levels, and diabetes have also been linked with recurrent miscarriage. Women who smoke or drink excessively have an increased risk of miscarriage. Environmental toxins in the workplace are also suspected.

Can I find out if I am prone to having miscarriages?

No. But you can find out if you or your partner have any abnormalities that could lead to miscarriage by undergoing a hysterosalpingogram, hysteroscopy, or sonohysterogram, having a complete hormonal profile, and having both partners undergo genetic screening and chromosome (DNA) analysis.

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