Recurrent Pregnancy Loss


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Recurrent Pregnancy Loss


Question:

My husband and I are trying to conceive. I've had three miscarriages. Is it time to look for a fertility specialist?

Answer:

Three consecutive miscarriages define the condition of recurrent pregnancy loss. So it is appropriate for you to see a fertility specialist.

Many different conditions can cause recurrent pregnancy loss. A specialist will help find the cause and help you understand your expectations for future pregnancy.

About 15% of established pregnancies end in miscarriage. Miscarriage is defined as the spontaneous end of pregnancy before 20 weeks of gestation. The percent is even higher if very early losses are included.

Most women who have a miscarriage have no problem carrying a future pregnancy. The risk of a future miscarriage increases after each miscarriage — unless the cause is identified and treated.

Recurrent pregnancy loss is very disappointing and the reason cannot always be determined. However, many causes can be identified and treated. Possible causes of recurrent pregnancy loss include uterine factors (fibroids, adhesions), cervical weakness, immunologic causes, hormone insufficiency, and genetic factors.

Joan Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.



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Last updated: July 29, 2009

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