Causes - Miscarriage - Symptoms
If you think you are having symptoms of a miscarriage, call your doctor. He or she will guide you in how to take care of yourself. Don't wait to get help. Seek help early to increase your chances of regaining your fertility after miscarriage.
Tests for recurrent miscarriage
If you have had recurrent miscarriages, or if you have lost a pregnancy after the first trimester, your doctor may want to run further tests to see what is going on. Tests for recurrent miscarriage include:
- Hysterosalpingogram (HSG) to identify problems with the uterus or fallopian tubes
- Blood tests for you and your partner to check for chromosomal issues, potential clotting disorders and immunological agents, including anticoagulant and cardiolipin antibody testing
- Hormonal blood tests (including thyroid and pituitary)
- Preimplantation genetic screening (PGS) - This process may help to increase the likelihood of a healthy pregnancy and reduce the risk of miscarriage.
The American College of Obstetrics and Gynecologists (ACOG) now recommends that women visit their doctor for further testing after a second pregnancy loss. This is especially important for women over the age of thirty-five.
A fertility specialist can help
In cases of recurrent miscarriage, it may also be beneficial to seek help from a fertility specialist. A fertility specialist can diagnose possible 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
- 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)
All women are different, and some women may experience problems with fertility after miscarriage while most do not. If you have trouble getting pregnant after miscarriage, a consultation with a fertility specialist may be helpful.
Take time to heal
Above all, do not underestimate the emotional impact of miscarriage. Give yourself time to grieve and lean on others for support. This is a very difficult time and you may need a few days, weeks, or longer to feel back to normal.