Recurrent pregnancy loss

Overview

Recurrent pregnancy loss is the occurrence of three or more consecutive miscarriages before 20 weeks of pregnancy. This condition affects approximately 1-2% of couples trying to conceive and involves the repeated loss of pregnancies in the first or second trimester.

Common Causes

Recurrent pregnancy loss can result from chromosomal abnormalities in either parent, hormonal imbalances such as thyroid disorders or diabetes, and structural problems with the uterus like fibroids or an abnormally shaped uterine cavity. Blood clotting disorders and autoimmune conditions where the body's immune system attacks the pregnancy can also contribute to repeated losses. Lifestyle factors including advanced maternal age, smoking, excessive alcohol consumption, and high levels of stress may increase the risk of experiencing multiple miscarriages.

Severity Levels

Mild: You may experience occasional early pregnancy losses with some successful pregnancies in between, allowing for hope and continued attempts at conception with minimal medical intervention needed.

Moderate: You face a pattern of repeated pregnancy losses that significantly impacts your family planning timeline and emotional well-being, requiring comprehensive medical evaluation and targeted treatments to improve your chances of carrying to term.

Severe: You endure multiple consecutive pregnancy losses that severely affect your physical and mental health, relationships, and life goals, often requiring intensive medical management, psychological support, and potentially advanced reproductive technologies to achieve a successful pregnancy.

Medical Attention

Seek immediate medical attention if you experience heavy bleeding, severe cramping, or signs of infection such as fever or foul-smelling discharge. Contact your healthcare provider after experiencing two consecutive pregnancy losses to discuss evaluation and potential underlying causes. If you have a history of three or more pregnancy losses, work closely with a reproductive specialist or maternal-fetal medicine doctor to develop a comprehensive treatment plan. Don't wait to seek help - early intervention and proper medical care can significantly improve your chances of a successful pregnancy.

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