What Is Recurrent Miscarriage and When Should You Seek Treatment?
Suffering two or more miscarriages before they reach 20 weeks is considered to be recurrent miscarriage or recurrent pregnancy loss. The American College of Obstetricians and Gynecologists (ACOG) recommends seeking treatment to determine the cause of recurrent pregnancy loss after three consecutive miscarriages.
You Can Still Have Your Dream Family Pregnancy After Miscarriage Is Possible
According to the University of California Los Angeles, 77% of women with no abnormality and 71% with an abnormality were able to conceive after recurrent miscarriages.
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Build Your Family
Contact Our Lincoln Reproductive Center
The experience of recurrent pregnancy loss can leave you feeling hopeless and disappointed. Our team of board-certified fertility specialists in Lincoln, NE, can determine the best way to move forward and help to prevent future pregnancy loss.
Heartland Center for Reproductive Medicine is a team of experienced fertility doctors dedicated to providing state-of-the-art care with compassion, professionalism, and integrity. Through our advanced tools and treatment options, we can help restore your hope of building a family.
Contact our fertility clinic in Lincoln, NE, to request your consultation.
(402) 717-4200
"We can’t thank Heartland enough
for all of their help!"
"Our experience with Heartland was great! From day one through “graduation day” we felt comfortable and taken care of! :) Now we have a baby on board and we will move to the OB who will deliver the baby. It’s almost bittersweet to leave a place you’ve become so comfortable with… but it’s for the best reason :) we can’t thank Heartland enough for all of their help!" Christy Barge
The Potential Causes of Recurrent Miscarriage
Our Lincoln fertility specialists can perform several tests to get to the root cause of your pregnancy loss. However, many women show no reason for recurrent miscarriage. Potential reasons for recurrent miscarriage include:
Genetic Issues
Genetic defects in the embryo or fetus can cause early miscarriages. Abnormal chromosomal activity, like one missing or one extra chromosome, can prevent the embryo or fetus from developing into a healthy baby. According to the American Society for Reproductive Medicine (ASRM), 60% of first-trimester miscarriages are due to chromosome abnormalities.
Anatomical Conditions
Certain anatomical conditions can result in pregnancy loss. An abnormally shaped uterus or a septate uterus, where there is a band of tissue dividing the uterus into two halves, can make the environment too small to grow a baby. Other anatomical conditions like fibroids and benign tumors can also lead to a miscarriage if they develop in or near the uterine cavity.
Medical Conditions
Some untreated medical conditions can increase your risk of miscarriage. Antiphospholipid syndrome (an autoimmune disorder where your antibodies mistakenly attack healthy tissue), thyroid antibodies, diabetes, and thrombophilia (a disorder where your blood easily clots) can increase your risk for miscarriage. Sometimes treating or adjusting the treatment of these conditions can increase your chance of successful pregnancy.
Your Age
As women age, it is typical for their reproductive function and fertility to decline. Aging can lead to more medical conditions that can result in infertility or increase your risks during pregnancy. In addition, as women get older, their risk of miscarriage due to abnormal chromosomal activity increases. According to the ASRM, women under 35 years old have a 10-15% chance of genetic abnormalities while women over 40 have a 50% chance.
Lifestyle Factors
Certain lifestyle factors like smoking and recreational drug use can lead to miscarriage. In addition, your weight can also impact your chances of a successful pregnancy. Being significantly underweight or overweight has been linked with an increased risk of miscarriage and complications during pregnancy. While some environmental factors like excessive stress are not good for your overall health, it has not been directly linked to recurrent miscarriage.
Reproductive Disorders
Certain reproductive disorders like endometriosis, a painful condition where the endometrium (the tissue lining the uterus) grows outside of the uterus, can lead to infertility issues and an increased risk of recurrent pregnancy loss. Polycystic ovarian syndrome (PCOS) is another reproductive disorder that can lead to infertility and increase your risk of complications during pregnancy.
You Are Not to Blame
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Miscarriages impact more women than you may think, and the cause is beyond their control. While we may suggest lifestyle changes as part of your treatment, this does not mean you are at fault. If you take medications regularly or have health conditions, it is important that you inform your fertility doctor, as some adjustments may be needed to reduce the chances of miscarriage. Do not stop any medications without discussing it with your doctors; we want to ensure you are getting the medications you need to maintain your health.
“I can not say enough good things about this place. Dr. Weedin and the nursing staff are all amazing. They went above and beyond for us. When we got pregnant and lost our first daughter they helped us through our grief and held our hand through it. When we conceived our now 1 year old little girl she stayed with us the whole time. She found us an amazing team of high risk doctors and even helped me find an obgyn that actually listens to me. She checked in and made sure I was being treated right through out the whole pregnancy.”
Symone McCoy
Our Methods How We Approach Treating Recurrent Miscarriage
When you visit our Lincoln fertility clinic for your consultation, one of our specialists will get to know you and your health history to determine where to begin your treatment.
Medical Evaluation
We start with a medical evaluation. Our doctors can review your family and genetic history and even order genetic testing if necessary. A karyotype, an image of you and your partner's chromosomes arranged in numerical order, could be used to look for any genetic abnormalities.
Image Screening
Our doctors could perform an ultrasound or hysteroscopy if they think the cause is due to an anatomical defect. An ultrasound can be used to look for fibroids or tumors and to examine your uterus shape. A hysteroscopy allows us to view the inside of the uterus to detect any abnormalities. Sometimes, surgery can remove any polyps or fibroids within the uterus to help treat pregnancy loss.
Exploring Treatments
Depending on what our doctors determine as the cause, they can create a customized treatment plan to help you reach your goals and prevent miscarriage. Your treatment will be based on any findings and diagnoses your doctor discovers during testing. However, in some cases, there is simply no cause for a woman's recurrent miscarriages.
Waiting for Results
Luckily, recurrent miscarriage does not mean you will never become pregnant again. Try to remain positive throughout your treatment, and remember, we can try multiple treatment options to help you achieve your family goals. If IVF or corrective surgery did not result in pregnancy, we can also look into egg donation and surrogacy to help you build your family.
“Kind and Listened to Everything I Had to Say”
Wonderful/compassionate staff, clean and welcoming office, and very knowledgeable doctors! Highly recommend. (Special shoutout to Dr. Delaney and her team)
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Dr. Weedin took her time explaining everything to me and my fiancé. There was never any judgement or backhanded comments. She was kind and listened to everything I had to say. She REALLY listened and I was finally able to get some answers.
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