My recurrent miscarriages

I have been having recurrent episodes of miscarriage, usually when the pregnancy is 4 months old. Kindly let me know what to do about this.

Chinwe (by SMS)

Miscarriages are sadly common, with about 15-25% of pregnancies ending in loss. When a woman has a miscarriage in two or more consecutive pregnancies, however, it is referred to as recurrent miscarriages or recurrent pregnancy loss. While miscarriages are common, recurrent miscarriages are not.

It has been estimated that less than 5% of women experience two miscarriages in a row. In most cases, these women will go on to have a successful pregnancy in the future. If you have recurrent miscarriages, a physical exam and testing are recommended to help determine the cause.

Your OB/GYN or fertility specialist can also provide information on support resources to help with the grief and emotional toll repeated miscarriages can take on patients and couples. Diagnosing the cause of recurrent miscarriages starts with a thorough medical history, including a detailed discussion of past pregnancy losses, and a physical exam.

A pelvic exam may also be performed. Testing may include: Imaging tests to examine the uterus and uterine cavity for congenital anomalies or other uterine conditions. This is often done through an ultrasound procedure (called a sonohysterogram) Blood tests to check for diabetes, thyroid disease, hormonal issues, and autoimmune conditions. Genetic testing of both parents, Genetic evaluation of miscarriage tissue from pregnancy loss, if available. About half of all cases of recurrent miscarriages are unexplained, meaning no clear cause is identified.