Helping patients and doctors to talk to each other !
Saturday, April 28, 2012
Why do women who miscarry blame their uterus ?
I often see women who have had recurrent miscarriages , or who have failed many IVF cycles, who want me to do surrogacy treatment
for them. From a purely rational point of view , this makes perfect
logical sense . Their reasoning is simple – the fact that they are
getting pregnant means that they are fertile; and the fact that the
embryo is growing well within the uterine cavity for eight weeks and
then not developing any further , clearly means that there is no problem
with the embryo. Their unstated hypothesis is that their must be
something wrong with either their uterus or the ability of their body to
nourish the embryo after 8 weeks, as a result of which their embryo
dies in utero and does not develop any further. It makes perfect sense
for them to feel that their body is "rejecting" the embryo - perhaps
because of some unexplained biological reason , which doctors still do
not have the technology to be able to detect . If this hypothesis is
true, then it makes sense to them to transfer their embryos into another
woman's uterus , where they will not be rejected, so that they can grow
and become a longed-for baby.