​ Mr Paul Curtis MBChB  FRCOG

​   Consultant Gynaecologist


Recurrent Miscarriage - Diagnosis

Miscarriage

Sadly it is thought that around 1 in 100 couples will experience recurrent miscarriage.  If you are one of these couples there are investigations that Mr Curtis can organise to try and determine whether there may be an underlying cause for the repeated pregnancy losses.  Some of these investigations might include:


  • Blood tests to check your hormone levels, blood-clotting, antibodies or autoimmune system
  • Genetics testing to check for chromosomal abnormalities
  • Scans or investigative surgery in the form of a laparoscopy or hysteroscopy to diagnose any possible underlying anatomical causes


Unfortunately it is not always possible to find a definitive reason as to why you may be suffering from repeated pregnancy loss and if no underlying causes are found you will be diagnosed as having "unexplained recurrent miscarriage". 

miscarriage

is the loss of a pregnancy within the first 23 weeks but it most commonly occurs within the first trimester (12 weeks)

The recommended treatment will depend on the outcome of your investigations but even if no underlying causes are discovered, there are often still measures that can be taken to try and help support the developing baby.


Medical - the treatment recommended will vary depending on what is thought to be the underlying cause but may include injections to help with blood clotting conditions or hormonal supplements.


Surgical - if during the course of your investigations it is discovered that you have an anatomical issue that may be having an effect on your ability to maintain a pregnancy such as a weak cervix or fibroids within the uterus for example, this can sometimes be corrected through surgery.

Treatment

The main symptoms of an early miscarriage (within the first trimester) are vaginal bleeding and abdominal cramps.  An ultrasound scan can be carried out to confirm whether a foetal heartbeat is present, or if you are in the very early stages of the pregnancy, then a blood test to check your hormone levels may be recommended instead.  In most cases a miscarriage will happen naturally over the course of a few days but in some cases it may be necessary to have a short procedure, under general anaesthetic, to remove any tissue left behind.


Unfortunately a miscarriage cannot be prevented and the most likely cause of an early stage pregnancy loss is a chromosomal abnormality within the developing baby.  Most women that have a miscarriage will then go on to have a subsequent, successful pregnancy in the future.  However, for some couples it can happen more than once and the loss of three consecutive pregnancies is classed as "recurrent miscarriage".

Call:  01483 451669