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Recurrent Abortions Tips

Recurrent Miscarriage

Dr. Richika Sahay Shukla 92% (827 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Recurrent Miscarriage

Recurrent Miscarriage

It can be heartbreaking to miscarry one baby after another. Each new pregnancy brings both hope and anxiety. And each new loss may be harder to bear, especially if you feel that time is running out. The experience can place great strain on even the strongest relationships. You and your partner might react differently from each other and that can cause great tension. Family and friends may find it harder to support you with each miscarriage; they may even think you’re getting used to loss and able to cope. And all the time there may be a sense that your life is on hold while you try – and try again – for a baby.

What is recurrent miscarriage?

Recurrent miscarriage means having three or more miscarriages in a row. It affects about one in every hundred couples trying for a baby. Sometimes a treatable cause can be found, and sometimes not. But in either case, most couples are more likely to have a successful pregnancy next time than to miscarry again.

Testing after recurrent miscarriage:

If you have had three miscarriages in a row, you should be offered tests to try to find the cause. This should happen whether or not you already have one or more children. Testing is not usually offered after one or two early miscarriages (up to 14 weeks) because these are often due to chance. But you might be offered tests after two early miscarriages if you are in your late 30s or 40s or if it has taken you a long time to conceive. If you had a late (second trimester) miscarriage, where your baby diedafter 14 weeks of pregnancy, you should be offered tests after this loss.

Why recurrent miscarriage happens?

Your risk of recurrent miscarriage is higher if:

  • you and your partner are older; the risk is highest if you are over 35 and your partner over 40;

  • you are very overweight. Being very underweight may also increase your risk. Each new pregnancy loss increases the risk of a further miscarriage. But even after three miscarriages, most couples will have a live baby next time

Known causes

Antiphospholipid syndrome (APS) This blood clotting problem is the most important treatable cause of recurrent miscarriage. It happens when your immune system makes abnormal antibodies that attack fats called phospholipids in your blood. This makes the blood more ‘sticky’ and likely to clot, which is whyAPS is sometimes called ‘sticky blood syndrome’. It is also known as ‘Hughes syndrome’ after the expert who named it. It is not clear why these antibodies cause miscarriage. They may stop the pregnancy embedding properly in the uterus (womb);or they may interfere with blood flow to the placenta, which supports the baby.

APS can also lead to problems in later pregnancy, including the baby not growing enough, pre-eclampsia or stillbirth.

Other blood clotting problems Some inherited blood clotting disorders can cause recurrent miscarriage, particularly after 14 weeks. These include factorV Leiden, factor II (prothromobin), gene mutation and protein S deficiency.

Abnormal chromosomes The chromosomes in every cell of your body carry hereditary information in the form of genes.

Everyone has 23 pairs of chromosomes, and 22 of these are the same in men and women. The 23rd pair are different because they determine gender. Men normally have one X and oneY chromosome and women two X chromosomes. A baby inherits half its chromosomes from each parent. About half of all miscarriages happen because the baby’s chromosomes are abnormal. This is not usually an inherited problem: it happens when the egg and sperm meet or soon after the egg is fertilised. The older you are the more likely this is to happen. Much less commonly (in less than five in one hundred couples with recurrentmiscarriage), one partner carries a chromosomal defect called a ‘balanced translocation’. This doesn’t cause a problem for the parent, but it can be passed on to the baby as an ‘unbalanced translocation’.

This means that some genetic information is duplicated and some is missing.

Cervical weakness (also known as ‘incompetent cervix’) Some women – probably less than one in a hundred – have a weakness in the cervix that allows it to dilate too early.

This is a known cause of late (second trimester) miscarriage.

Possible causes

Abnormally-shaped uterus Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.

It may be divided down the centre – known as ‘bicornuate’ or ‘septate’ uterus;or just one half of the terus may have developed – known as ‘unicornuate’ uterus. It is not clear from research how many women with recurrent miscarriage have these abnormalities. Also we don’t know how common these problems are in women who don’t miscarry. This makes it impossible to be sure that they cause miscarriage

Polycystic ovary syndrome (PCOS) Women with this condition have many small cysts in their varies. They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood. It is these problems that are thought to play a part in recurrent miscarriage, but it is not clear how.

Infection

Some serious infections can cause or increase the risk of single miscarriages. These include toxoplasmosis, rubella, listeria and genital infection. But it is not clear whether infection plays a role in recurrent miscarriage.

Immune problems Raised levels of uterine NK (uNK) cells may increase the risk ofrecurrent miscarriage, ut more research is needed to prove this. It’s important to know that these uNK cells are different from he NK cells found in general circulating blood (e.g. from your arm). Diabetes and thyroid problems Uncontrolled diabetes and untreated thyroid problems can cause miscarriage. But well-controlled diabetes and treated thyroid problems do not cause recurrent miscarriage.

4 people found this helpful

Medical abortion

Dr. Megha Tuli Gupta 92% (1763 ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Medical abortion
The right drug in the right dose and taken in the correct technique has higher success rate of a complete abortion. Incorrect dosage and technique is the primary reason for failed or incomplete abortion.
1 person found this helpful

Abortion Habitual

Dr. Mrs Neeraj Gupta 91% (331 ratings)
BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy, Ph.D Homeopathy
Homeopath, Delhi

Abortion is the expulsion of products of conception either fully or partially.
The causes of abortion vary from hormonal disturbances any trauma or injury, a severe shock, infectious and foetal abnormalities. It is a nature's way of rejecting a malformed baby.
Other reasons can be:
TORCH infections.
Uterine weakness or displacement.
Cervical canal weakness.

SYMPTOMS:

Bleeding from vagina either profuse or in spots.
Pain is usually the dull type of pain in abdomen and back.


DO'S and DONT'S:

If you have a bad obstetric history like repeated abortions, malformed foetuses, consult a gynaecologist as soon as pregnancy is suspected.
Do not over strain, carry weights, or do laborious jobs during pregnancy.
Take plenty of rest but do take some light exercise. Exercises should be done only under the medical guidance or expert opinion.
Take doctor's advice on diet and medicate.
Do not self-medicate.

14 people found this helpful

Recurrent pericoronitis (dental infection)

Dr. Souvagya Ranjan Kar 90% (536 ratings)
BDS
Dentist, Cuttack
Recurrent pericoronitis (dental infection) is often deadly.
76 people found this helpful

Recurrent mouth ulcers and homeopathy

Dr. Rushali Angchekar 94% (59223 ratings)
BHMS
Homeopath, Sindhudurg
Recurrent mouth ulcers and homeopathy
Mouth ulcers/ apthous ulcers/ canker sores) are shallow painful sores inside the mouth. They occur on the inside of lips, the insides of cheeks and the base of gums or under the tongue. They appear as a painful white or yellow ulcer surrounded by a bright red area. they start with burning sensation followed by a red spot which then progresses into an ulcer. healing takes place within 2-3 days Mild to moderate fever may also accompany them. These ulcers are more common in women than men and more often occur between the ages of 10 and 40.

What causes these ulcers?
Several factors that seem to trigger outbreaks of these apthous ulcers have been identified. Any one or a combination of them can lead to such ulcers. These factors are emotional stress, deficiencies in diet (Iron, B-12, and folic acid), menstrual periods, oral hygiene, allergy to food substances and trauma sites in mouth.It also seems that some have it running in their families.

HOMOEOPATHIC TREATMENT-
Homoeopathic Medicines that are often used for treating apthous ulcerations in mouth are Borax, Acid Sulf, Acid Nitric, Merc Sol and Kali Chloride.


PREVENTION AND MANAGEMENT
Avoid Foods that irritate
Certain foods can irritate your mouth try and avoid them these foods generally include acidic foods, nuts and certain spices.
Don’t Eat and talk at the same time.
This could cause slight trauma to your inner lining of the mouth which could lead to mouth ulcers.
Have a good oral hygiene
Regular flossing and brushing teeth after meals will give you a good oral hygiene thus help in avoiding ulcers.
Message complaints in details for treatment- Dr Rushali Angchekar
Vaibhavi homoeo clinic

Recurrent Miscarriage - Know The Causes And Management

Dr. Malvika Sabharwal 91% (18 ratings)
MBBS, DGO, F.I.C.O.G., Dipl.Endo. Surgery (USA)
Gynaecologist, Delhi
Recurrent Miscarriage - Know The Causes And Management

Miscarriage refers to the spontaneous loss of the fetus before one completes the 20th week of pregnancy, taking into account the period from the conception to gestation.  It usually happens in the first trimester of the pregnancy; that is within the seventh and the twelfth week of conception. Recurrent miscarriage is when one suffers from multiple miscarriages in a row.

Possible Causes:

  1. Abnormally-shaped Uterus: Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.
  2. Polycystic Ovary Syndrome (PCOS): Women with this condition have many small cysts in their ovaries.They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood, which can lead to recurrent miscarriage.
  3. Infection: Some serious infections can cause or increase the risk of single miscarriages. These include toxoplasmosis, rubella, listeria and genital infection. But it is not clear whether infection plays a role in recurrent miscarriage.
  4. Diabetes and Thyroid Problems: Uncontrolled diabetes and untreated thyroid problems can cause miscarriage. But well-controlled diabetes and treated thyroid problems do not cause recurrent miscarriage.

Risk Factors:
Your risk of recurrent miscarriage is higher if:

  • you and your partner are older; the risk is highest if you are over 35 and your partner over 40; 
  • you are very overweight. Being very underweight may also increase your risk.

Each new pregnancy loss increases the risk of a further miscarriage. But even after three miscarriages, most couples will have a live baby next time.

Testing After Recurrent Miscarriage:

If you have had three miscarriages in a row, you should be offered tests to try to find the cause. This should happen whether or not you already have one or more children. Testing is usually offered two early miscarriages (up to 14 weeks) because these are often due to chance. But you might be offered tests after two early miscarriages if you are in your late 30s or 40s or if it has taken you a long time to conceive.
If you had a late (second trimester) miscarriage, where your baby died after 14 weeks of pregnancy, you should be offered tests after this loss.

  1. You can opt for blood tests to check for sticky blood syndrome or APS. Tests would look for antibodies that would help treat the condition. Antibodies are chemicals produced by the body to combat infections.
  2. Get an examination done should the doctor suspect chromosomal abnormalities and in case it is diagnosed, both of you can consult a clinical genetics specialist for genetics counseling.
  3. Your doctor will recommend an ultrasound scan to trace any type of abnormality that may make a pregnancy futile, for instance, a short or a fragile cervix.

Your hopes:

It is natural to pin your hopes on testing as the answer to your problems. But there are three reasons why it may not be the answer you’re looking for:

  • A cause may not be found; when this happens your miscarriages are called ‘unexplained’ 
  • Even if a cause is found, it may not be treatable;
  • Treatment may not lead to a successful pregnancy. This can happen if a pregnancy miscarries for a different reason than the one being treated. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4040 people found this helpful

Recurrent Seizures - How Can They Affect You?

Dr. Gagandeep Kaur Chhabra 88% (97 ratings)
BHMS, DHMS (Diploma In Homeopathic Medicine & Surgery)
Homeopath, Mohali
Recurrent Seizures - How Can They Affect You?

Epilepsy or seizers is a neurologic disorder, which can also be classified as a chronic dysfunction of the human brain. Epilepsy is a condition that is common to both adults and children and the symptoms for the same can be spotted in any person, regardless of age or time. Though the condition can be troublesome, there is no reason to fear it. Epilepsy is curable and can be omitted with regular homoeopathic medication and treatments. If you have epilepsy, read on to find the best cures and treatments for the condition.

How epilepsy affects you?
Epilepsy is a condition of the brain, where it is forced to suddenly put a stop the normal electronic activities that it is used to performing. Symptoms of recurring seizures include-

  1. Sudden disorientation
  2. Confusion or inability of registering any activity around you
  3. Uncontrollable and contorted shaking of the body
  4. Suddenly stricken with fear
  5. Gritting of teeth
  6. Losing all consciousness, etc.

If you have noticed any or more than one of these symptoms, it is time to give the doctor a visit. A homoeopathic specialist, in this case, can prove to be the most helpful.

Types of seizures or epilepsy:
Epilepsy again can be classified into some varieties, depending on which part of the brain it is affecting. Some of the different kinds of epilepsies include-

  1. Partial Seizures: Partial Seizers are further classified into simple partial seizures, absent seizures and complex partial seizures. The first variety is characterised by jerking of the body and slight impairment of sight and sound. The second variant is characterised with momentary unconsciousness, slight twitching of the facial muscles and upward gaze. The last variety if, characterised by heavy jerking of the body, almost like in a trance and last for over a minute.
  2. Generalised Seizure or Convulsion: The Generalized seizure is a more engaging form of epilepsy that affects the whole body and results in profuse convulsion. This kind of seizures is characterised by complete loss of consciousness, heavy jerking caused due to muscular contractions, severe breathing difficulty, reddening of the face and post attach back aches.

These different types of seizures are caused depending on the area of the brain that they involve.

Best homoeopathic treatments for seizures:
Homeopathy has come up with some of the most valuable and well-researched treatments to cure epilepsy in individuals. Some of the most noted remedies and medications include-

  1. Calcarea Carbonica
  2. Cuprum Metallicum
  3. Bufo Rana
  4. Kali Bromatum
  5. Enanthe Crocata
  6. Nux Vomica
  7. Silicia
  8. Sulphur
  9. Cicuta Virosa
  10. Belladonna
  11. Hyoscyamus
  12. Causticum, etc.

These remedies are designed to positively affect different kinds of epilepsies, with different intensities and in different stages. These are only a handful of cures for seizures suggested by homoeopathy. Visiting a professional, homoeopathic, medical specialist will allow you to recognise the type of epilepsy you have and also find the best remedy for the same. In case you have a concern or query you can always consult an expert & get answers to your questions!

3419 people found this helpful

Understanding The Reasons Behind Recurrent Miscarriage!

Dr. Shiva Singh Shekhawat 94% (127 ratings)
MBBS, DGO, DNB, CIMP, Fellowship In Minimal Access Surgery, Diploma In Minimal Access Surgery, Fellowship In ART
Gynaecologist, Chennai
Understanding The Reasons Behind Recurrent Miscarriage!

Recurrent pregnancy losses happen to a very small fraction of the population. Only 1% of couples are affected by it. Nevertheless, it is a very difficult and serious process to deal with due to the sensitivity of the issue. A woman is said to have recurrent pregnancy losses if she has lost 3 or more of her pregnancies. Although the exact reason for recurrent pregnancy losses are not known, there are several suggested reasons.

Reasons why it may happen

  1. Anomalies in the uterine lining such as polyps (abnormal tissue growth, usually in the cervix), or fibroid tumors can result in miscarriages if left untreated.
  2. Hormonal factors such as thyroid malfunctions or pituitary problems can cause an imbalance in the luteinizing hormone (a hormone which triggers ovulation) resulting in miscarriage.
  3. Age is also an issue one must keep in mind while addressing pregnancy losses. Women over the age of 35 are more likely to experience recurrent pregnancy losses. As women get closer to menopause, their bodies produce reduced levels of hormones and eggs which cater to a pregnancy. Therefore, due to the reduced levels of hormones, an older woman is susceptible to losing a baby as they have elevated levels of hormones and therefore are more fertile.
  4. Lifestyle factors also have been linked to recurrent pregnancy losses. Constant exposure to toxic chemicals can result in pregnancy problems. Along with that, constant drug use, smoking and excessive consumption of alcohol are some of the lifestyle choices that can cause recurrent pregnancy losses.
  5. Infections such as syphilis, malaria, measles, herpes simplex etc. can cause recurrent pregnancy symptoms if left untreated as they can obstruct and complicate the growth of the baby, resulting in premature development or pregnancy loss.

Management of Pregnancy Loss

  1. Polyps and fibroid tumors are complicated disorders which should be given immediate medical attention. Although surgical methods are available, the best way to treat polyps and fibroid tumors is through the intake of progestin hormone pills which shrink the size of the polyps/cysts.
  2. Eating a healthy diet to ensure the prevention of diabetes is highly recommended. Fruits, leafy green vegetables and whole grain cereals are a prerequisite for the complete growth of the baby as well as arming the body with the necessary strength it needs for pregnancy transitions as well as a stronger immune system.
  3. A regular workout routine is also advised for pregnant women as it ensures a healthier and stronger immune system.

Although recurrent pregnancy loss is very emotionally debilitating for a woman and her partner, there are several means and measures to overcome this tragedy. One should not be disheartened by such an occurrence and get the required help needed.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2756 people found this helpful

How You Can Deal With Recurrent Miscarriage?

Indira Ivf 86% (46 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
How You Can Deal With Recurrent Miscarriage?

It is no hidden fact that miscarriages hurt you deeply. The trauma that comes with it is unbearable, but you will have to get through it. Don’t blame yourself for the situation, you may not know it but miscarriages are quite common. Doctors have said that one out of four pregnancies ends up in a miscarriage. If you have experienced more than two consecutive miscarriages then you are suffering from a recurrent miscarriage. If you are going through recurrent miscarriages then there are some medical conditions to blame.

Is miscarriage the end?
A recurrent miscarriage may sometimes complicate things a little, but don’t think that it is the end. As the medical research has progressed, there are several ways for you to get pregnant or have a child. There is in vitro fertilization or IVF which is one of the best ways to cope with a miscarriage. Even if you are having some problem with your fallopian tube IVF can solve your problems and fertilization will be done in the lab and the embryo will be implanted.

How to cope with the emotional stress?
Miscarriages are hard in itself, and you need to deal with the post-miscarriage situation with the utmost maturity to keep your psychological and physical state under complete care. Emotionally good health will go a long way and let you think clearly about your options. If the stress and sadness of the miscarriage have brought you down, then seek the counseling of psychiatrist. Don’t feel ashamed to share your feeling and never suppress them. Talk about them and if needed join a support group that will help you to get through the tough situation.

Remember one thing that if you are emotionally aggrieved and suppress your feelings then that will take a toll on your relationship with your partner. With IVF becoming so developed, there is no need to lament about miscarriage.

How can I improve my fertility?
You may be suffering from recurrent miscarriages, but you should not lose your hope. Keep on trying and you may succeed. You never know. Visit the specialists and let them know your medical history. With special care, IVF can solve all your problems.

But only IVF would never work. Opt for a healthy lifestyle by doing exercises, eating healthy foods, quit smoking, and reduce your alcohol and caffeine intake. You should take a multivitamin rich in folic acid every day. You should also restrict your exposure to environmental chemicals and toxins. It is advisable that you leave behind any kind of heavy lifting, strenuous physical exercises, and any dangerous contact sports. Try not to take stress by taking up yoga or tai chi. And most importantly, try to maintain a healthy sexual relationship with your partner and contact your doctor to know when can you get pregnant again. In case you have a concern or query you can always consult an expert & get answers to your questions!

5278 people found this helpful

Know The Possible Reasons Behind Recurrent Pregnancy Loss!

Dr. Jayshree Pathak 90% (30 ratings)
DNB - Obs & GYnae, MBBS, D.G.O - Obs & Gynae, Fellowship in Reproductive Medicine
Gynaecologist, Ghaziabad
Know The Possible Reasons Behind Recurrent Pregnancy Loss!

Recurrent pregnancy loss refers to the situation when three consecutive pregnancy loss takes place. A pregnancy loss is a clinically defined pregnancy which ends before twenty weeks.

Causes of recurrent pregnancy loss

  1. Major cases of pregnancy loss occur due to genetic abnormalities and chromosomal abnormalities. The abnormality may occur from the sperm, egg or the early developed embryo.
  2. Recurrent pregnancy loss may occur in a woman due to ascending maternal age. This happens because of poor quality of the egg, which further leads to chromosomal abnormalities. In some cases, the pregnant mother or the father can have some gene irregularities. In such cases, the would-be-born infant is affected, and this causes pregnancy loss or miscarriage.
  3. Uterus abnormalities also lead to recurrent pregnancy loss. This may happen because of poor supply of blood to the uterus. Abnormalities in the uterus are in-born in some women and in others these may develop over time.
  4. Women having a poor immune system are likely to suffer pregnancy loss. Abnormalities in hormone secretion like thyroid or diabetes may also cause pregnancy loss in women.
  5. If a woman suffers from abnormalities in blood clotting, the chances of miscarriage are enhanced.

Testing for recurrent pregnancy loss
Several tests and examinations should be carried out for detection of pregnancy loss. 

  1. Karyotype analysis of the woman and her male partner has to be conducted. Karyotype refers to the genetic or chromosomal constituents of an individual and this test is carried out to detect abnormalities in genes and chromosomes of the parents, which cause miscarriage when passed on to the developing infant.
  2. Another test includes the evaluation of the uterus and the uterine cavity. This is done by ultrasound, saline ultrasound, MRI, hysterosalpingogram X –ray or by hysteroscopy. These tests help to get information on the uterus shape, about fibroid presence, detect abnormalities within the uterus and observe the opening and closing of the tubes. Tests to detect the functioning of hormones are also carried out.

Treatment
The treatment for women with recurrent pregnancy loss depends upon the underlying causes of the pregnancy loss.

  1. In case of patients with karyotypic abnormalities, genetic counselling is recommended, where a specialist is consulted to know about chromosomal abnormalities.
  2. Prenatal genetic studies are carried out by some couples to know about the offspring’s genetic make-up. This is done with chorionic villus sampling or with amniocentesis. A process known as in vitro fertilization can be carried out.
  3. In case of uterine abnormalities, a surgery may be performed and medications for reducing blood clot are used if antiphospolipid syndrome is detected.

Recurrent pregnancy loss may happen due to various reasons and proper tests, and treatment procedures should be carried out for curing pregnancy loss. This phenomenon affects a woman and her partner deeply. In case you have a concern or query you can always consult an expert & get answers to your questions!

2445 people found this helpful
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