Fertility Tests for Recurrent Miscarriage

A miscarriage brings intense pain and sorrow like few other life experiences.. You may wonder if anyone understands what you are going through. The answer is yes.

Miscarriage is common, occurring in one in four pregnancies. And about five percent of women lose two pregnancies in a row. The loss of more than one pregnancy is called recurrent miscarriage or recurrent pregnancy loss. If this happens to you, talk to your doctor. He or she can evaluate you with fertility tests and help you regain your fertility after miscarriage.

Causes of recurrent miscarriage

If you experience more than one miscarriage, seek help from a fertility specialist immediately. A fertility specialist can diagnose fertility problems that may cause miscarriage, including:

  • Advanced maternal age (miscarriage risk increases with age)
  • Asherman's syndrome (uterine adhesions)
  • Celiac disease
  • Chromosomal or genetic abnormalities
  • Hormonal problems
  • Lupus
  • Medical problems including diabetes, polycystic ovarian syndrome (PCOS), a thyroid condition, or weight problems
  • Thrombophilia (blood clots)
  • Uterine abnormalities (fibroids, polyps, scar tissue, or uterine septum)

Let your doctor know if you have a family history of genetic disorders, like Turner's syndrome or Down's syndrome. And don't wait to get help. Seek help early to increase your chances of regaining your fertility after miscarriage.

Fertility tests for recurrent miscarriage

To discover more about the reasons for your pregnancy losses, your doctor may recommend one of the following fertility tests for you or your partner:

  • Blood tests to check your chromosomes and look for clotting disorders or immunological agents (like the lupus anticoagulant)
  • Blood tests to evaluate the health of your glands and hormones
  • Blood tests to look for natural killer cells
  • Hysterosalpingogram (HSG) to check for adhesions, fibroids, polyps, scar tissue, tubal, or uterine abnormalities
  • Preimplantation genetic screening (PGS) to diagnose genetic issues that could affect the fetus

These tests, and later treatments, can help reduce future miscarriages. For example, PGS may reduce the chances of miscarrying and passing down any chromosomal disorders, like Down's syndrome, to your infant. Encourage your partner to get tested along with you. Male factor infertility can contribute to some cases of recurrent miscarriage.

There is fertility after miscarriage
Fertility testing for recurrent miscarriage is often very helpful. Still, some individuals never find out why their miscarriages occur. If your doctor cannot identify the cause of your recurrent miscarriages, maintain hope. Most women give birth to healthy babies after recurrent miscarriage. It might seem impossible now, and you may feel like giving up, but trust and faith can help you through. While the pain of pregnancy loss takes some time to heal, know that your chances of regaining your fertility after miscarriage are high.

This content is Copyright The American Fertility Association (AFA) 2011. This content is intended for personal use and may not be distributed or reproduced without AFA consent. Please contact info@theafa.org or visit theafa.org for more information.

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