If you have experienced 2 or more miscarriages in a row, it is called recurrent miscarriage. This is rare and affects 1% of couples. Having a miscarriage can be devastating, but having one after another is often a very traumatic experience. If you have had 3 or more miscarriages in row, you should refer to a specialist unit dedicated to managing recurrent miscarriage. You can have tests and investigations to find possible reasons.
There are many possible causes for recurrent miscarriage. The most common causes of recurrent miscarriages are as follows:
Even after a comprehensive evaluation, the cause of recurrent miscarriage remains unexplained in more than half of affected couples.
In the first visit of couples suffering from recurrent miscarriage, history of previous pregnancies in terms of gestational age and other characteristics, infertility, menstruation, assessment of gynecological or obstetrical infection, symptoms of thyroid disease, diabetes and male hormones increase, abnormality in blood clot formation, underlying diseases such as autoimmune diseases, medication use, exposure to toxins and pollutants, addictive substances, smoking and alcohol, previous tests, genetic tests of previous abortion products will be asked and discussed, and the necessary examinations will be performed. It is recommended to women to try to reach a normal weight if suffering from recurrent miscarriage. It is recommended to correct obesity, overweight and severe underweight.
The treatment plan will be based on the history of the examination and the results of paraclinical investigations. Treatments for recurrent miscarriage can involve lifestyle changes, medications, or surgery to increase the chance of a successful pregnancy.