Treating Recurrent Miscarriages or Pregnancy Losses
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At Apex Reproductive Healthcare Ltd, London, we offer services to treat the causes of recurrent miscarriages or pregnancy losses.
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Dr. Vidya, with years of experience in this area, focuses on addressing the underlying factors contributing to these losses.
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Some of the treatment options and interventions she may recommend include:
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Medical Evaluations:
Comprehensive medical evaluations for both partners to identify potential causes of recurrent miscarriages, such as hormonal imbalances, genetic abnormalities, autoimmune disorders, or structural issues in the reproductive organs.
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Preconception Care: ​
Preconception counselling and care, including optimising maternal health before conception, can help reduce the risk of miscarriage and improve pregnancy outcomes.
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Lifestyle Modifications:
Adopting healthy lifestyle habits such as maintaining a balanced diet, regular exercise, avoiding alcohol, tobacco, and recreational drugs, and managing stress can help improve overall reproductive health and reduce the risk of miscarriage.
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Medications:
Depending on the underlying cause, medications such as hormonal supplementations, immunosuppressants (if required)*, or blood thinners may be prescribed to address specific issues contributing to recurrent miscarriages.
*absence of concrete medical evidence
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Surgery:
Surgical interventions may be necessary to correct structural abnormalities in the uterus, such as fibroids, polyps, or septums, which may increase the risk of miscarriage.
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Assisted Reproductive Technologies (ART):
Although not evidence-based, Invitro Fertilisation (IVF) with Preimplantation Genetic Testing (PGT-A) may be recommended for couples with recurrent miscarriages to select genetically normal embryos before transfer, reducing the risk of miscarriage.
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Genetic Testing & Counselling:
Genetic testing may be performed to identify chromosomal abnormalities or genetic mutations that increase the risk of miscarriage. Genetic counselling can help couples understand their risk and make informed decisions about family planning.
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Immunotherapy*: ​
In cases where immune system dysfunction is suspected, immunotherapy treatments such as Intralipid, Intravenous Immunoglobulin (IVIG) or corticosteroids may be prescribed to modulate immune responses and reduce the risk of miscarriage.
*not evidence-based
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Progesterone Supplementation: ​
Progesterone supplementation may be recommended for women with a history of early pregnancy losses, to support early pregnancy and reduce the risk of miscarriage.
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It's important for individuals experiencing recurrent miscarriages to undergo a thorough medical evaluation to identify the underlying causes and develop a personalised treatment plan in consultation with a healthcare provider specialising in reproductive medicine.