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What Causes Recurrent Miscarriage Despite Having Normal Test Reports?

Posted on Thu, 30 Jun 2016

Question: hi doctor my wife recently had 3rd recurrent miscarriage in last 3 yrs. 1st & 2nd time it was anembryonic preganancy & there was no heart beat detected. it was this 3rd time that the heart beat was detected & pregnancy went upto 14 weeks without any complaints. when we went for the nt scan we found the heart beat was gone & the doctor advised her to take pills & expel out the foetus the foetus has now been sent for kayotyping. also previously all tests were done on both me & my wife all tests came out to be negative. now we dont know on how to proceed further. I have also attached the past test reports

Answered by Dr. Dr. Soumen Patra (17 minutes later)

Brief Answer:
Upload or attach all past reports.

Detailed Answer:
Hello Dear,

Thanks for writing to us. I understand your concern.

Kindly, upload or attach all your previous scan and test reports to get a clear idea about the case.

I will be looking forward for earliest response and reports to give proper suggestion along with guideline.

Regards,

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Soumen Patra (18 minutes later)

Hi Doctor, I have attached all test reports & Scan copies here. Also would like to add on in her 3rd pregnancy doctor had advised her to take aspirin 75 mg additionally . Now the doctors is advising her to take low molecular heparin injections when she conceives next but we are skeptical about these injections

Hi Doctor, i have just reattached all the reports. Please go through & let me know.

Answered by Dr. Dr. Soumen Patra (10 hours later)

Brief Answer:
PGS or PGD should be done. IVF is best option.

Detailed Answer:
Hello Dear,

Thanks for attaching all reports. I have reviewed them.

Followings are my comments:

1) All reports are almost NORMAL and I can suggest you to proceed Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF) without wasting further time. It will be more worthwhile in this case.

2) Preimplantation Genetic Diagnosis (PGD) or Preimplantation Genetic Screening (PGS) can be done before transferring embryo to the uterus if IVF is opted.

They can detect certain genetic disease and screen for normal chromosome of the embryo. Some center may test eggs for chromosomal abnormalities before they are used to create embryos.

3) LMWH injection is given in selective cases only and it is NOT used if PGS or PGD is done. Kindly, consult with infertility specialist for next management.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

Above answer was peer-reviewed by : Dr. Arnab Banerjee