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Having a child is the most precious feeling and it can be emotionally devastating to learn about a failed pregnancy. If the same happens multiple times, it might lead to couples giving up hope altogether and also affect their inter-personal relationship. If you are looking for multiple miscarriage treatment in Dubai, then you have come to the right place. Before we delve into how fertility treatment can help with multiple failed pregnancies, let us try & understand what exactly is a failed pregnancy & what can be the reason behind it.

First of all, a miscarriage is more common than you think. Did you know about 1/3 to 1/2 of all pregnancies end in miscarriage before a woman misses a menstrual period thus not even realizing that she was pregnant. About 10 to 20% of women who know they are pregnant will miscarry. The number diminishes drastically after 20 weeks’ gestation as only 1% miscarriages occur after this time period and are termed as late miscarriages.

The underlying cause for a miscarriage might vary from individual to individual but some of the most common reasons include:

1. Age of the woman
2. An underlying infection
3. Improper implantation of fertilized egg in the uterine lining
4. The cervix begins to widen and open too early, in the middle of pregnancy, without signs of pain or labor
5. Disorders of the immune or an autoimmune disease
6. Lifestyle factors such as smoking, drinking alcohol, or using illegal drugs
7. Uncontrolled diabetes
8. Hormonal irregularities
9. Severe kidney disease
10. Exposure to environmental and workplace hazards such as high levels of radiation or toxic agents.

Now that we understand miscarriages are common, they can be easily overcome with certain changes in lifestyle and expert consultation. But how does one go about in a situation where a miscarriage has happened multiple times?

The American Society of Reproductive Medicine (ASRM) has recently defined recurrent pregnancy loss as two or more pregnancy losses.

At MMC IVF, The treatment recommendations for patients with recurrent pregnancy loss are based on the underlying cause of recurrent pregnancy loss. The process begins with a physician taking a detailed medical, surgical, family, and genetic history and perform a physical examination. Testing that may be done includes karyotype analysis of both partners. The karyotype is the chromosomal, or genetic, make-up of a person. The purpose is to find abnormalities in the parents that could be passed on to the offspring, resulting in miscarriage. Because karyotype abnormalities are relatively rare, a doctor may choose to not perform this test unless other, more common, abnormalities are ruled out. An ultrasound is often done as a first test. The ultrasound can give information about the shape of the uterus and the presence of fibroids (benign round muscle tumors).

Tests of hormone function may also be done. Thyroid function tests and thyroid antibodies may be checked, along with measurement of prolactin, the hormone responsible for breast milk production. Ovarian reserve tests may be performed, which indicate how well an ovary is functioning. Some studies indicate that poorer ovarian function, as shown by these hormone tests, may be related to chromosomal abnormalities of the eggs in the ovary. Testing for diabetes may be done if a woman is at risk for or has manifestations of diabetes.

The Treatment

Individuals in whom a karyotypic (a chromosomal or genetic) abnormality is found are often referred for genetic counseling. There, a specialist can discuss what the genetic abnormality is and the likelihood of having a chromosomally normal or abnormal pregnancy in the future. Some affected couples may choose to undergo prenatal genetic studies during pregnancy to check the genetic make-up of the offspring with either 1) chorionic villus sampling (CVS), in which a piece of placenta is biopsied late in the first trimester or early in the second trimester, or 2) amniocentesis, which removes some of the amniotic fluid (the fluid that surrounds the baby during pregnancy) for analysis. In vitro fertilization (IVF) with preimplantation genetic diagnosis (PGD) can also be done.

If a uterine abnormality is found, surgery may be performed depending on the defect. If antiphospolipid syndrome is diagnosed, certain medications that reduce blood clot formation may be given. If thyroid dysfunction or diabetes are diagnosed, specific medications can be prescribed.

To lead you on the right path of fertility treatment, MMC IVF is offering you an opportunity to consult with a world-class fertility specialists for a one-on-one discussion. You can also avail an exclusive ‘Get treatment now & pay Later’ plan. All you have to do is make an appointment with us +971 56 136 2512 or write to us at info@mmcivf.com. We will get back to you promptly. The best part is that you can stay at home and talk to our specialists online. In addition, you can request for a second opinion on the diagnosis and treatment you already are on. Reach out to MMC IVF and we will fix an appointment for it.