Miscarriages, also called recurrent pregnancy loss, occur early in pregnancy, before the 13th week. They’re typically due to an embryo receiving the wrong number of chromosomes during fertilization, making it impossible for the embryo to develop. This happens randomly and is responsible for about 60% of miscarriages. It isn’t caused by a medical condition but is more likely to occur in older women.
Rarely, women may experience repeated miscarriages when one partner has what’s called chromosome translocation, a genetic abnormality in which part of a chromosome transfers or “relocates” to another. This occurs in about 1% of the population. It affects the amount of genetic material in eggs or sperm and may cause miscarriage.
Sometimes repeat malformation of the uterus causes miscarriages. One of the most common is a septate uterus, in which a wall of tissue forms a divide in the uterus. This condition responds well to surgery.
Uterine adhesions, scar tissue, fibroids, and polyps also cause miscarriages. The specialists at Fertility & Genetics often resolve these problems with minimally-invasive surgical procedures such as laparoscopy.
Other medical conditions that may affect pregnancy include:
After a thorough exam and review of your medical history, your Fertility & Genetics specialist may recommend diagnostic studies to define the causes of your previous miscarriages further.
Once these studies are complete, and the cause is identified, numerous successful treatment options exist that may prevent miscarriage. These include hormonal manipulation to balance the issues created by PCOS or surgical removal of uterine fibroids and polyps.
In vitro fertilization (IVF) is often the answer when genetic abnormalities are causing miscarriage, and Dr. Abaé excels at successful IVF procedures. They often recommend preimplantation genetic diagnosis to scan eggs, sperm, and embryos for abnormalities, and choose only genetically sound material for fertilization and implantation.
When genetic abnormalities are severe, or your age affects the health of your eggs or sperm, healthy egg or sperm donors are options made possible via IVF. Gestational surrogacy is also an increasingly popular solution to conditions that don’t respond to treatment.
Whatever your issue, you can trust Dr. Abaé to assist you in pursuing your dream of having a child, even when others say it’s impossible.
Feel free to email us regarding any scheduling or general questions!