Published on: 2025-10-13 | Written by: Dr. Ahmed Kamal Consultant Obstetrician
Recurrent miscarriage is one of the most distressing conditions women may face. It refers to the loss of pregnancy more than twice consecutively. Dr. Ahmed Kamal emphasizes that managing such cases requires a scientific and precise approach, beginning with accurate diagnosis and ending with comprehensive treatment to ensure a successful pregnancy.
Dr. Ahmed Kamal explains that the causes of recurrent miscarriage vary from one case to another and may include:
Hormonal disorders, such as low progesterone levels or thyroid dysfunction.
Genetic abnormalities or chromosomal defects.
Uterine abnormalities, such as uterine septum, adhesions, or cervical weakness.
Immune disorders that cause the body to reject the fetus.
Lifestyle or environmental factors, including smoking, obesity, or severe stress.
According to Dr. Ahmed Kamal, identifying the root cause is the key to successful treatment.
Dr. Ahmed Kamal clarifies that accurate diagnosis involves several specialized tests, such as:
Hormonal and chromosomal tests for both partners.
Uterine assessment using ultrasound or hysteroscopy.
Immunological tests to detect antibodies affecting pregnancy stability.
Blood clotting tests to identify coagulation disorders.
He confirms that these investigations help pinpoint the exact cause, allowing for a tailored treatment plan.
Dr. Ahmed Kamal stresses that treatment depends on the underlying cause:
For hormonal imbalances, medications are prescribed to support pregnancy and improve the uterine lining.
For uterine abnormalities, minimally invasive hysteroscopic surgery is often performed.
In immune or clotting-related cases, anticoagulant medications such as heparin and aspirin are used under medical supervision.
Lifestyle modifications are also essential, including a balanced diet, quitting smoking, and reducing stress.
Dr. Ahmed Kamal highlights the importance of close medical follow-up before and during pregnancy, in addition to psychological support for couples. Anxiety and emotional stress can negatively affect pregnancy outcomes, so maintaining mental and emotional balance is vital. He encourages couples not to lose hope, as medical advancements have greatly improved the success rates of pregnancies after appropriate treatment.