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Center for Reproductive and Fetal Medicine

MULTIPLE AMISSIONS : COPING STRATEGIES

MULTIPLE AMISSIONS : COPING STRATEGIES

Coping with one miscarriage is a difficult thing in itself, but experiencing two or more miscarriages can really take a toll on a woman's psyche. It is, however, possible for a woman to complete a healthy pregnancy even after multiple miscarriages. The first and most important step in this direction is to work with an experienced fertility specialist.

What is recurrent pregnancy loss?

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

  • Divided uterus (uterine diaphragm)
  • 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 in having a child after multiple miscarriages is to determine which of these problems caused the losses.

How are multiple miscarriages treated?

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

  • IVF with PGT-A or PGT-M to treat genetic problems
  • Minimally invasive surgery to treat uterine septum, fibroids, polyps or adhesions
  • Blood thinners to treat autoimmune problems such as APS
  • Medicines 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, however, who are ultimately unable to conceive, there is also the option of surrogacy which can help them have a baby.

Our team can answer all your questions

Our experts 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 today the Center for Reproductive Medicine “Dr. Alexander Traianos" calling to ☎️(+30) 2310 277 032 or by sending a message to 📧email alexandrostraianos@gmail.com.

Center for Reproductive and Fetal Medicine

Effective doctor-patient communication is vital to providing high-quality health care. Any communication regarding your medical profile (getting results, instructions, answering questions, concerns) will be done directly with the doctor. This means no midwife or secretary will interrupt your conversations. Instead, if you call with any concerns, they will be there right away to address your needs. Contact us by calling 694 649 8771 or by completing the relevant Contact Form.

Dr. Alexandros Traianos

FETAL MEDICINE

REPRODUCTIVE MEDICINE

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FREQUENT QUESTIONS

The association of IVF drugs with cancer risk is a major concern for women enrolled in these programs. But the plethora of bibliographic reports collected from credible scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

Of course not. In about a third of cases, infertility is due to the woman (female factor), while in a third of cases, it is due to the man (male factor). The remaining one-third is due to both (both men and women) or even to unknown factors.

The quantity and quality of a man's sperm can be affected by his health and lifestyle. Some factors that can reduce the quantity and / or quality of sperm are:

  • the alcohol
  • drugs
  • environmental toxins, including pesticides and lead
  • smoking
  • health problems
  • medicines
  • radiotherapy and chemotherapy
  • the age

Success rates vary at each IVF Center. Very important factors are also the age of the woman, the levels of her hormones and of course the sperm of the husband. Rates generally range from 45% or slightly higher for women up to 35 years old.

Infertility is defined as the failure to conceive after one year (or 6 months, if it is a woman over 35) with normal, regular sexual intercourse. In other words, when a year passes without the woman becoming pregnant, the couple should consult their doctor to determine the cause of the pregnancy and then treat it. We must all, however, be aware and not forget that the age factor is the most critical for female fertility and that the individualized approach of each couple is the "golden key" that solves the problem.

The number of treatment cycles a woman can undergo is not specified. It is certain that in our country there are high level obstetricians-gynecologists and organized infertility treatment centers, which offer impeccable medical services at this level. If there are correct indications (eg ovaries that respond to stimulation therapy, good quality endometrium, etc.) the success rate -especially with the use of newer techniques and biotechnological drugs, which show increased bioactivity compared to conventional drugs from urine- totals approximately 65%-70% after 4 cycles of treatment.

At the Center for Reproductive Medicine of Dr. Traianos we offer egg / sperm cryopreservation services for those who have a personal or medical reason and need this service. We use the most modern vitrification technique in the freezing of sperm and eggs.

The collection of eggs takes 10-15 minutes, it is not painful, it is done under intoxication and after the end of the process you return to your activities.

In general, experts agree that the fact that a couple has already had a child can be considered proof that there is no infertility problem in the first place. It is like a small test that has been done and proves that they "made it" at least once. On the other hand, however, we must be aware that things may have changed in the meantime and a problem may have arisen (e.g. the man may have suffered some inflammation, which affects the quality of his sperm or something has intervened that affects female fertility: an inflammation, a gynecological surgery, an abortion, etc.).

In any case, if a reasonable period of time (one year) passes and a couple is unable to achieve pregnancy, then they should, with the help of their doctor, investigate whether there has been a problem causing infertility.