Recurrent miscarriages
Overview
Recurrent miscarriages refer to the loss of three or more consecutive pregnancies before 20 weeks of gestation. This condition affects approximately 1-2% of couples trying to conceive and may indicate underlying reproductive health issues that require medical evaluation.
Common Causes
Recurrent miscarriages can result from hormonal imbalances, particularly involving progesterone or thyroid hormones that are essential for maintaining pregnancy. Genetic factors, including chromosomal abnormalities in either parent, may also contribute to repeated pregnancy loss. Lifestyle factors such as smoking, excessive alcohol consumption, high stress levels, and being significantly underweight or overweight can increase the risk. Certain medical conditions like diabetes, autoimmune disorders, or blood clotting disorders may also play a role in recurrent pregnancy loss.
Severity Levels
Mild: Experiencing 2-3 early pregnancy losses with some successful pregnancies in between may indicate minor hormonal imbalances or temporary factors that can often be addressed with lifestyle changes and basic medical support.
Moderate: Having 3-4 consecutive pregnancy losses typically requires comprehensive medical evaluation to identify treatable causes such as blood clotting disorders, thyroid issues, or structural problems that may respond well to targeted treatments.
Severe: Experiencing 5 or more consecutive pregnancy losses or losses occurring later in pregnancy often indicates complex underlying conditions requiring specialized fertility care, advanced testing, and potentially multiple treatment approaches to achieve a successful pregnancy.
Medical Attention
Seek medical help if you experience two or more pregnancy losses, even if they weren't consecutive. Don't wait for three losses before consulting a healthcare provider, as early evaluation can help identify treatable causes. Contact your doctor immediately if you have heavy bleeding, severe cramping, or signs of infection after a pregnancy loss. If you're planning to conceive again after previous losses, schedule a preconception consultation to discuss testing and treatment options.
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