In general, how should habitual abortion be treated?

Patient's question:

I have a history of habitual abortion, and I have had miscarriages before, so I am very worried. I also really want a child. Could you please ask the doctor how to treat habitual abortion in general?

Doctor's answer:

Generally speaking, women who have experienced habitual miscarriage need to first rule out non-immune causes before attempting to conceive again. This is because abnormalities in endocrine function can be corrected with medication. Certain chromosomal abnormalities that lead to miscarriage are currently beyond medical treatment, while issues like uterine malformations and adhesions in the uterine cavity require surgical intervention.
It is recommended that after a previous miscarriage, you and your husband should undergo a thorough examination at the hospital before the next early pregnancy to identify the cause. Then, treatment can be administered based on the specific cause. Conditions such as luteal phase deficiency and hypothyroidism can be treated with medication, while surgical treatment may be appropriate for issues like uterine malformations, uterine fibroids, or uterine adhesions.

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