Recurrent miscarriages: what are the treatment options

Recurrent miscarriage, the heartbreaking loss of three or more consecutive pregnancies before 20 weeks of gestation, is a deeply distressing experience for couples striving to build a family. As medical professionals, we recognise the emotional and physical challenges this condition presents.

Leading consultant obstetrician and gynaecologist Mr Rami Atalla aims to provide clarity on what recurrent miscarriage is, its potential causes, and the avenues available for evaluation and management. Understanding these aspects can empower individuals affected by recurrent miscarriage to navigate their journey towards achieving a successful pregnancy.

What is recurrent miscarriage?

Recurrent miscarriage is when a woman experiences three or more miscarriages in a row. Miscarriage is the spontaneous loss of a pregnancy before 20 weeks of gestation. It is a more common occurrence than many people realise, affecting around 1 in 100 women. The emotional impact can be profound, and investigations are often recommended after the third consecutive miscarriage.

What causes recurrent miscarriage?

There are several factors that can contribute to recurrent miscarriage. These include genetic abnormalities in the embryo, hormonal imbalances, anatomical issues such as abnormalities of the uterus, and certain medical conditions like autoimmune disorders or clotting disorders.

There are various lifestyle factors which may contribute to recurrent lifestyle factors, such as excessive alcohol consumption and obesity.

How is recurrent miscarriage investigated?

When recurrent miscarriage is suspected, a thorough evaluation is crucial. This typically involves a series of tests including blood tests to check hormone levels, genetic testing of both partners, imaging studies like ultrasound to assess the uterus, and sometimes more specialised tests to look for clotting disorders or autoimmune conditions. Your doctor will tailor investigations based on your medical history and previous pregnancy outcomes.

What treatment options are available?

Treatment for recurrent miscarriage depends on the underlying cause identified during investigations. In some cases, addressing hormonal imbalances or treating underlying medical conditions can improve the chances of a successful pregnancy. For couples with genetic abnormalities, assisted reproductive technologies such as preimplantation genetic testing (PGT) may be considered to select embryos with normal chromosomes before implantation.

Support and emotional well-being

Experiencing recurrent miscarriage can be emotionally challenging. It is important to seek support from healthcare professionals, counsellors, or support groups who can provide emotional support and guidance through this difficult time. Many couples find solace in sharing their experiences with others who have gone through similar challenges.

Navigating recurrent miscarriage requires patience, understanding, and comprehensive medical support. By understanding the possible causes and available treatments, you can work closely with your healthcare team to explore options and make informed decisions. Remember, each case is unique, and there is hope for many couples to achieve a successful pregnancy with the right guidance and support.

If you would like to book a consultation with Mr Atalla, do not hesitate to do so by visiting his Top Doctors profile today.