Recurrent miscarriage in the first trimester of pregnancy is a devastating problem which can and should be carefully evaluated, especially since there are a number of treatable problems which can be detected with a careful work-up. The known causes of recurrent miscarriage fall into one of the following categories:

1) Genetic
2) Hormonal
3) Immunologic
4) Anatomic
5) Infectious
6) Unexplained

 

 

 

A comprehensive evaluation should include the following testing:

1) Chromosomal analysis of both partners.
2) Hormonal testing to include thyroid, pituitary and ovarian function.
3) Testing for several known immunologic markers associated with recurrent pregnancy loss.
4) X-ray of uterus (hysterosalpingogram).
5) Sampling of cervical secretions for presence of specific bacteria.

One important consideration is that the prognosis with this problem is extremely good. Most couples with recurrent pregnancy loss will ultimately carry successfully.
OTHER SERVICES
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• Comprehensive Infertilty Workup
• Cycle Monitoring
• Tubal Sterilization Removal
• In-Vitro Fertilization
• Egg Donor Program
• Micromanipulation
• Donor Insemination
• Management of Recurrent Pregnancy Loss
• Management of Polycystic Ovarian Syndrome
• Management of Unexplained Infertility