Testing for auto-immune disorders (in cases of 3 or more losses). Anatomical testing/sonography (ultrasound test or HSG / X-ray).At the Washington University Fertility and Reproductive Medicine Center, on both the mother or carrier and the father or sperm provider, as well as the fetal tissue, when applicable. Finding a causeĪ history of recurrent miscarriage calls for evaluation and management. Recurrent late miscarriage can be the result of uterine abnormalities, autoimmune problems, an incompetent cervix, or premature labor. Structural problems of the uterus can also play a role in early miscarriage. Recurrent early miscarriages (within the first trimester) are most commonly due to genetic or chromosomal problems of the embryo, with 50-80% of spontaneous losses having abnormal chromosomal numbers. There are many causes of miscarriage, but they are usually divided into two groups: early and late. However, you may want to look more closely at possible causes if you have not had a live birth and have had two or more miscarriages. More than half of the time, families will go on to have healthy children, unassisted, after losing two pregnancies. Nonetheless, they may leave patients concerned and questioning their ability to have a live birth. One or even two miscarriages are not, by themselves, indicative of future infertility. Miscarriages are common, occurring in 15-20% of all pregnancies, usually in the first trimester (up to 13 weeks).
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