Treating Recurrent Miscarriage: Causes, Diagnosis

Dr. Youssef Ezz El-Raggal confirms that properly managing recurrent miscarriage starts with understanding the causes and conducting thorough examinations to develop an appropriate treatment plan that ensures a healthy and stable pregnancy.

What Is Recurrent Miscarriage?

Recurrent miscarriage is defined as the loss of pregnancy three or more consecutive times before the 20th week of gestation. Though it affects a small percentage of women, it causes significant physical and psychological distress.

Causes of Recurrent Miscarriage

Dr. Youssef Ezz El-Raggal emphasizes several factors that may lead to recurrent miscarriage, including:

• Chromosomal abnormalities: Genetic defects in the mother or father causing pregnancy failure.

• Uterine problems: Such as congenital abnormalities, adhesions, or fibroids.

• Hormonal disorders: Like thyroid insufficiency or progesterone imbalance.

• Chronic diseases: Such as uncontrolled diabetes and hypertension.

• Blood clotting disorders: Including antiphospholipid syndrome.

• Infections: Vaginal or uterine infections that affect the fetal environment.

• Lifestyle factors: Smoking, obesity, and psychological stress.

Diagnosis of Recurrent Miscarriage

Dr. Youssef Ezz El-Raggal stresses the importance of precise diagnosis through:

• Detailed clinical examination.

• Blood tests to evaluate hormone levels and thyroid function.

• Chromosomal testing for both partners.

• Ultrasound imaging to assess the uterus and ovaries.

• Coagulation tests to detect blood clotting disorders.

• Infection screening.

Treatment Methods for Recurrent Miscarriage

Dr. Youssef Ezz El-Raggal explains that treatment varies according to the cause and may include:

1. Treatment of Chromosomal Abnormalities

Genetic counseling and assisted reproductive techniques like IVF with preimplantation genetic diagnosis (PGD).

2. Treatment of Uterine Problems

Laparoscopic surgery to correct abnormalities or remove fibroids.

3. Hormonal Therapy

Administration of progesterone supplements or thyroid hormone regulation.

4. Treatment of Blood Clotting Disorders

Use of blood thinners such as heparin or aspirin as directed by the physician.

5. Infection Treatment

Appropriate antibiotics following diagnosis.

6. Lifestyle Modification

Quitting smoking, losing excess weight, and stress reduction.

Dr. Youssef Ezz El-Raggal’s Advice to Maintain Pregnancy

• Regular follow-up with your doctor.

• Taking necessary vitamins, especially folic acid.

• Avoiding exposure to harmful substances and maintaining a healthy lifestyle.

• Managing chronic diseases properly.

• Psychological support to reduce anxiety and stress.