It can be both extremely frustrating and quite satisfying to treat patients who have recurrent miscarriages. Recurrent pregnancy loss, recurrent miscarriages, or chronic abortion are terms used to describe people who have experienced two or more losses. It's disappointing because, despite conducting a full panel of tests on these individuals, we frequently come up with no results at all. The uterine cavity is normal, the chromosome studies are normal, and there are no signs of hormone imbalance.
The majority of these patients suffer from repeated first-semester miscarriages, which means that the miscarriage occurs at around eight to ten weeks and we are unable to identify the cause. It goes without saying that these patients are quite frustrated. Patients are now quite concerned about how the doctor will be able to treat them if he can't identify the underlying cause of the diagnosis, which is curiously why the entire course of treatment is not predicated on identifying a problem. Empirical therapy, which is founded on experience, is the foundation of the treatment.
The good news is that studies have shown that even women who experienced three, four, or five recurrent miscarriages could eventually conceive successfully. If they don't give up and keep trying, more than 50% of them will eventually succeed in having a healthy kid with just one straightforward intervention. that's what tender loving care, or TLC, is all about. Now, this might seem incredible. After all, how could delicate loving care, especially for a woman who has lost, affect the result of pregnancy?
You could reasonably assume that because she's miscarried three times, the likelihood of her miscarrying a fourth time will be substantially higher, but this is untrue. and in fact, this is one of the main justifications for any treatment given to these individuals, be it immunotherapy, intravenous immunoglobulins, paternal lymphocyte vaccination, or anything else.
The reason why any therapy works so well, in my opinion, is that most of these patients don't need it. As a result, the baseline success rate for these women would remain at 50%, even if they undertook no additional interventions. which is fantastic because it means that half of them would go on to have a healthy baby and, guess what, they would attribute it entirely to the medical care, and the doctor would be more than happy to accept this credit as well.
Therefore, even though we frequently cannot identify the cause of miscarriages, there's no need to become discouraged. Despite the fact that you might feel like the odds are stacked against you, if you continue to be patient, your chances of having a healthy kid are very strong. Therefore, please hold onto hope.
Need help? We provide a second opinion on all infertility issues. Please send me your medical details by filling in the form at https://www.drmalpani.com/free-second-opinion so we can better guide you.
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