Understanding Recurrent Miscarriage
At West Wales Women’s Wellbeing (WWWW), we recognise how emotionally and physically challenging recurrent miscarriage can be. Experiencing two or more consecutive losses is not uncommon, and we are here to provide compassionate care, thorough assessment, and tailored support.
What Causes Recurrent Miscarriage?
There are several potential causes of recurrent miscarriage, and sometimes more than one factor may be involved. It’s important to note that in about 50% of cases, no clear cause is identified, despite detailed investigation.
Common Causes Include:
- Genetic Factors: One or both partners may carry a genetic abnormality that increases the risk of miscarriage.
- Uterine Abnormalities: Structural issues such as a septate uterus, fibroids, or scar tissue may interfere with implantation or the growth of the pregnancy.
- Hormonal Imbalances: Conditions like uncontrolled diabetes, thyroid dysfunction, or polycystic ovary syndrome (PCOS) can affect pregnancy.
- Blood Clotting Disorders: Conditions such as antiphospholipid syndrome (APS) and Factor V Leiden increase the risk of abnormal clotting and pregnancy loss.
- Infections: While not commonly the sole cause, certain infections may increase the risk of miscarriage.
- Lifestyle Factors: Smoking, excessive alcohol consumption, obesity, or high levels of stress may contribute to recurrent miscarriage.
How We Investigate Recurrent Miscarriage at WWWW:
If you have experienced two or more consecutive miscarriages, we offer thorough assessments to identify
possible underlying causes, including:
Blood Tests:
- Hormone Levels: To check for imbalances that may affect pregnancy.
- Clotting Profiles: To detect any blood clotting disorders like APS.
- Thyroid Function Tests: As thyroid imbalances can increase miscarriage risk.
Genetic Testing:
- Testing for chromosomal abnormalities in both partners, or in pregnancy tissue if available.
Ultrasound and Imaging:
- Pelvic ultrasound to assess the structure of the uterus, identify fibroids, polyps, or a septum.
- 3D ultrasound or MRI may be recommended for detailed imaging.
Additional Tests (if indicated, may require a further referral):
- Hysteroscopy or laparoscopy to explore structural abnormalities.
- Infection screening if there are signs of underlying issues.
Treatment and Support Options:
The right treatment depends on the underlying cause identified during your assessment:
Medication:
- Hormone therapy for imbalances (e.g., progesterone support)
- Blood-thinning agents (e.g., aspirin or heparin) for clotting disorders
- Treatment for thyroid dysfunction or diabetes
Surgical Options:
- Correction of uterine abnormalities such as fibroids or septums
- Removal of polyps or scar tissue that may be interfering with implantation
Lifestyle Changes:
- Guidance on diet and exercise to maintain a healthy weight
- Smoking cessation and alcohol reduction
- Stress management and lifestyle adjustments to support overall well-being
Fertility and Genetics Counselling:
- For those with identified genetic risks or recurrent loss, counselling and support in understanding future pregnancy options are available.
Emotional well-being and support
Experiencing repeated miscarriages can be deeply distressing. It’s completely natural to feel:
- Sadness, grief, and frustration
- Anger or guilt
- Anxiety or fear about future pregnancies
At WWWW, we prioritise emotional support alongside medical care. We offer:
- Counselling referrals for those needing additional support
- Access to support groups where you can share experiences with others who understand
- A compassionate, understanding team that listens and supports your journey
When should you seek help?
We recommend booking a consultation if:
- You have experienced two or more consecutive miscarriages
- You are planning a pregnancy and have a known health condition
- You are feeling emotionally overwhelmed and would like additional support
Moving Forward with Care and Compassion:
Recurrent miscarriage is a complex journey, both medically and emotionally. At WWWW, we are committed to providing you with expert-led assessments, clear explanations, and empathetic support. Even when a specific cause is not found, many women go on to have successful pregnancies with the right care and monitoring.
You don’t have to face this alone—our team is here to support you every step of the way.
Book a consultation today to start your journey towards understanding and healing.