What Causes a Miscarriage?
Miscarriages are described as the loss of a pregnancy prior to the 20th week. In many instances, the woman might not even realize she is pregnant because she might miscarry before she has even missed her menstrual period. Generally, however, around 15 to 25 percent of known pregnancies end in a miscarriage. Over 80 percent of those occur within the first trimester. A miscarriage can occur after the 20th week of pregnancy, but those are rare.
The majority of miscarriages occur because of chromosomal abnormalities that are not inherited by either parent but that abruptly develop in the unborn baby. Most often, the miscarriage occurs because the baby would not be able to survive. Miscarriages can occur for other reasons as well. They are as follows:
• Hormonal problems
• Uterine abnormalities
• Immune system responses
• Diabetes or thyroid conditions in the mother
• Physical problems in the mother
• Being over 35
• Problems with the cervix
• Recurrent miscarriages (three or more)
Are Multiple Miscarriages a Sign of Infertility?
Sadly, approximately four percent of couples end up experiencing recurrent miscarriages. At this point, miscarriage and fertility become a worrisome issue. However, there is hope because there are options for these couples that can help them to conceive and go on to enjoy a healthy pregnancy.
Anyone who has experienced multiple miscarriages will want to get support and answers to their numerous questions. Medicine has advanced considerably over the years and there is the option of infertility and genetic testing that can help couples to regain control over their fertility.
Testing Available for Couples Who Experience Miscarriage
There are certain tests available for couples who have experienced miscarriage. These are as follows:
• Genetic Karyotype: Couples who have experienced several miscarriages, generally three or more, who are considering trying to conceive naturally or through in-vitro fertilization (IVF), should consider this type of test. Genetic karyotype testing checks for chromosomal abnormalities that can present the risk of miscarriage and a baby being born with a genetic issue.
• PGS (Preimplantation Genetic Screening): This type of test is recommended for people who have a high risk due to a family history of genetic problems like cystic fibrosis or fertility issues and have a history of recurrent miscarriages. It can check for healthy embryos for couples who plan on using IVF so that the embryos can implant and develop in a normal and healthy manner.
• Fetal Tissue Testing: This type of testing is done on the fetal tissue after a miscarriage. It is done to determine why the pregnancy didn’t develop and progress normally and can bring couples some answers. It is recommended for couples who have no known risks for miscarriage. Unfortunately, it doesn’t always result in a conclusive answer.
Solutions for Infertility
When it is discovered that you have a correlation with miscarriage and infertility, you can seek help from your doctor to conceive and have a normal, healthy pregnancy. Couples have the following options:
• Artificial Insemination: The sperm is inserted into the woman through a tube, which helps with conception when there are issues like low sperm count or problems with cervical mucus. It is frequently used with a medication known as Clomid.
• Assisted Reproductive Technology (ART): ART is done by removing the woman’s eggs and directly fertilizing them with her partner’s sperm. After fertilization, one or more embryos are inserted into the woman.
• In-Vitro Fertilization (IVF): IVF is a type of ART, but multiple embryos are placed inside the woman.
Remember, if you have experienced miscarriage and infertility, it’s important to not lose hope. There are options that can help you to have the family of which you’ve always dreamed.