MULTIPLE AMISSIONS : COPING STRATEGIES

22 February 20243′ read3 sections

CONTENTS

What is recurrent pregnancy loss?
How are multiple miscarriages treated?
Our team can answer all your questions

Coping with a miscarriage is difficult in itself, but going through two or more miscarriages can take a real toll on a woman's emotional well-being. It is, however, possible for a woman to carry a healthy pregnancy to term even after multiple miscarriages. The first and most important step in that direction is to work with an experienced fertility specialist.

What is recurrent pregnancy loss?

Recurrent pregnancy loss is when a woman has two or more miscarriages. About 5% of women have two or more miscarriages, while 1% have three or more. A woman is more likely to experience recurrent pregnancy loss if she is over 35 or has had miscarriages in the past. Most miscarriages (about 60%) are due to genetic abnormalities in the embryo. Because the quality of a woman's eggs declines with age, her eggs are more likely to contain genetic abnormalities after the age of 35. These defects can cause genetic problems in the embryo, which may lead to pregnancy loss. While genetic issues are the most common cause of multiple miscarriages, the following issues can also play a role:

A divided uterus (uterine septum)
A cervix that cannot stay closed
Fibroids or polyps in the uterus
Asherman syndrome, which causes adhesions (scar tissue) in the uterus
Thyroid or hormonal problems
Autoimmune disorders such as antiphospholipid syndrome (APS)

The first step towards having a child after multiple miscarriages is to identify which of these problems caused the losses.

How are multiple miscarriages treated?

Before recurrent pregnancy loss is treated, diagnostic tests are carried out to identify the cause. These tests usually consist of a physical examination, blood tests and an ultrasound scan. Our team may also order genetic tests, a sonohysterogram or minimally invasive surgery to examine the pelvic organs. Always depending on the test results, our specialists will recommend one or more of the following options for treating recurrent pregnancy loss:

IVF with PGT-A or PGT-M to address genetic problems
Minimally invasive surgery to treat a uterine septum, fibroids, polyps or adhesions
Blood-thinning medication to manage autoimmune problems such as APS
Medication to treat thyroid problems or hormonal imbalances
Lifestyle changes, such as stopping smoking and maintaining a healthy weight

Thanks to these treatment options, a woman who has had multiple miscarriages has a 60% to 80% chance of having a healthy, full-term pregnancy. For those who ultimately cannot carry a pregnancy, there is also the option of surrogacy, which can help them have a baby.

Our team can answer all your questions

Our specialists are always happy to answer your questions, to help you feel informed and empowered to make the decisions that are right for you. Schedule a consultation! Contact the "Dr. Alexandros Traianos" Centre for Reproductive Medicine today by calling ☎️(+30) 2310 277 032 or sending a message to 📧email alexandrostraianos@gmail.com.

TAGSReproductive MedicinetreatmentpregnancyReproductive Medicine SpecialistCenter for Reproductive Medicine and Embryo Medicineinfertility

ABOUT THE DOCTOR

Dr. Alexandros Traianos

Gynecologist · Specialist in Reproductive Medicine and Fetal Medicine

He supports scientific excellence in clinical practice and recognizes the possibilities offered by modern reproductive methods to couples who wish to have a child of their own.

His profile

The content of this article is for information only and does not replace a medical examination and advice.

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Frequently Asked Questions most frequently.

Infertility is defined as the failure to achieve conception after one year (or 6 months in the case of a woman over the age of 35) of normal, regular sexual intercourse. In other words, when a year has passed without the woman becoming pregnant, the couple should consult their treating physician, so that the cause preventing pregnancy can be identified and subsequently addressed. However, we should all be aware and not forget that age is the most critical factor for female fertility, and that an individualized approach to each couple is the "golden key" that solves the problem.

Of course not. In approximately one third of cases, infertility is due to the woman (female factor), while in another third of cases it is due to the man (male factor). In the remaining third, it is due to both partners (both the man and the woman) or even to unknown factors.

• alcohol • narcotic substances • environmental toxins, including pesticides and lead • smoking • health problems • medications • radiotherapy and chemotherapy • age

In general, specialists agree that the fact that a couple has already had a child may be considered evidence that, at least initially, there is no infertility problem. It is like a small test that has been carried out and shows that they “succeeded” at least once. On the other hand, however, we should be aware that circumstances may have changed in the meantime and that a problem may have developed (e.g., the man may have had an inflammation affecting the quality of his sperm, or something may have occurred that affects female fertility: an inflammation, gynecological surgery, an abortion, etc.). In any case, therefore, if a reasonable period of time (one year) passes and a couple is unable to achieve a pregnancy, then, with the help of their doctor, they should investigate whether a problem causing infertility has arisen.

Success rates vary at each IVF center. Very important factors also include the woman’s age, her hormone levels, and, of course, her husband’s sperm. In general, rates are around 45% or slightly higher for women up to 35 years of age.

The number of treatment cycles a woman may undergo is not fixed. It is certain that in our country there are highly qualified obstetrician-gynecologists and well-organized infertility treatment centers that provide excellent medical services in this field. Provided that the appropriate indications are present (e.g., ovaries that respond to stimulation treatment, a good-quality endometrium, etc.), the success rate—particularly with the use of newer techniques and biotechnological medicines, which demonstrate increased bioactivity compared with conventional urine-derived medicines—reaches a cumulative rate of approximately 65%–70% after 4 treatment cycles.

Egg retrieval takes 10–15 minutes, is not painful, is performed under sedation, and after the procedure is completed you can return to your activities.

The association between IVF medications and the risk of developing cancer is the greatest concern for women participating in these programs. However, numerous literature references gathered from reliable scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

At Dr. Traianos' Reproductive Medicine Center, we offer egg and sperm cryopreservation services for individuals who have a personal or medical reason and require this service. We use the most advanced vitrification technique for the freezing of sperm and eggs.

What is recurrent pregnancy loss?

How are multiple miscarriages treated?

Our team can answer all your questions

The first step is a discussion.

Frequently Asked Questions most frequently.

When is a couple considered infertile?

Is infertility only a female problem?

What increases the risk of male infertility?

I already have one child, but I am now having difficulty becoming pregnant again. Could a problem have arisen with me or with my partner?

What is the success rate of in vitro fertilization?

How many times can a woman undergo in vitro fertilization (IVF)?

Is egg retrieval painful?

Can IVF medications cause cancer?

Can I freeze my eggs or my sperm?