The treatment of reiterative miscarriage depends on what is thought to be the underlying cause. This is not always as simple as it sounds. Careful evaluation may find out several potential factors which alone or together may lead to the losses. In case a chromosomal problem is found in one or both spouses, then counseling as to future risks is the only option for the couple, because there is no method to correct genetic problems nowadays.
In case a structural problem is encountered with the uterus, surgical correction could be regarded. It should be stressed that just because a structural abnormality is found, it does not certainly mean that it caused the miscarriage. Removal of a fibroid or uterine septum does not assure a future successful pregnancy, because the fibroid or uterine septum may not have been the cause of miscarriage in the first place.
Corresponding control of diabetes and thyroid disease is in trying to prevent reiterative pregnancy loss in women with those conditions. Women with immunologic problems can be treated with certain medications that are being studied and they may be useful in achieving successful pregnancy results. It is interested that blood thinners, like aspirin and heparin can, in some cases, prevent further pregnancy loss.
Sometimes progesterone is used to increase the blood levels of this hormone. It is sometimes used for women with recurrent pregnancy loss. However, large-scale controlled studies that ratify the profit of progesterone supplementation have not been carried out. In spite of this fact, many physicians report success with progesterone therapy. Progesterone may be given in three different ways, such as vaginal suppositories, or in tablet or gel form.
When deal with recurrent pregnancy loss, it is important to understand that even though apparently obvious problems can be improved, a miscarriage can still happen. This is not to say that attempts should not be taken to correct identified abnormalities that have been historically associated with miscarriage. But no treatment can be guaranteed.
Even with repeated miscarriages, there is still a very high chance of achieving a successful pregnancy. Early pregnancy and pre-pregnancy counseling can help identify risk factors and allow the practitioner to provide any special care that may be required.
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