Recurrent Miscarriage Treatment

WEBVTT 00:00:05.760 --> 00:00:10.400 Generally speaking, around 20 to 25% recognized 00:00:10.425 --> 00:00:15.260 pregnancies end up in miscarriage. 00:00:15.285 --> 00:00:18.495 That is because for a multitude of reasons, humans are incredibly 00:00:18.520 --> 00:00:19.780 inefficient at reproduction. 00:00:19.805 --> 00:00:24.060 When I evaluate a patient for recurrent pregnancy loss, 00:00:24.085 --> 00:00:28.780 I really try to focus on four different causes for recurrent pregnancy loss. 00:00:28.805 --> 00:00:32.640 First, we talk a lot about hormonal causes for recurrent pregnancy loss. 00:00:33.200 --> 00:00:39.060 Things like PCOS, thyroid problems, high levels of prolactin, ovarian 00:00:39.085 --> 00:00:45.200 dysfunction, all of those things can cause and contribute to, pregnancy loss. 00:00:46.040 --> 00:00:49.020 The second thing that we really look about and evaluate for are uterine causes. 00:00:49.045 --> 00:00:55.660 There can be a number of intrauterine pathologies that can cause pregnancy loss, 00:00:55.685 --> 00:01:01.340 polyps, fibroids, adhesive disease in the uterine cavity, as well as chronic 00:01:01.365 --> 00:01:05.930 endometriosis that can all contribute to recurrent pregnancy loss. 00:01:05.960 --> 00:01:10.200 The third thing that we evaluate are causes 00:01:10.960 --> 00:01:14.440 that are associated with abnormal placentation or abnormal 00:01:14.465 --> 00:01:16.660 blood flow to the placenta. 00:01:16.685 --> 00:01:21.490 What I mean by that is that there are a number of both inherited as well as 00:01:21.520 --> 00:01:26.180 acquired clotting disorders that can occur. 00:01:26.205 --> 00:01:30.640 If there is a blood clot that forms at where that placenta attaches in the 00:01:30.665 --> 00:01:35.620 uterus, that can disrupt blood flow to the pregnancy, and result in miscarriage. 00:01:35.645 --> 00:01:39.180 We look into all those three things. 00:01:39.205 --> 00:01:41.280 The final thing is genetics. 00:01:41.360 --> 00:01:46.240 The most common cause of, miscarriage in all comers is that there 00:01:46.265 --> 00:01:49.740 was something wrong with the embryo and has nothing to do with 00:01:49.765 --> 00:01:52.020 maternal or paternal problems. 00:01:52.045 --> 00:01:56.560 But 3 to 7 percent of couples with recurrent pregnancy loss do have something 00:01:56.585 --> 00:02:00.920 called a balanced translocation and so we do look into genetic causes by looking 00:02:00.945 --> 00:02:05.260 at both mom and dad's chromosome makeup. 00:02:05.285 --> 00:02:09.380 Treatment of recurrent pregnancy loss really depends on causes. 00:02:09.405 --> 00:02:15.280 So that that work up that we do that is so all encompassing and really comprehensive 00:02:15.305 --> 00:02:19.060 will sort of guide the way that we do treatment. 00:02:19.085 --> 00:02:22.940 Ultimately, if you are suffering from recurrent miscarriage, first, 00:02:22.965 --> 00:02:27.440 know that you are not alone, that it is so, so common. 00:02:27.960 --> 00:02:34.655 Second, know that if you join us and partner with us, we'll work really hard to 00:02:34.680 --> 00:02:37.040 find a cause and a treatment plan that is most effective for you.