After recurrent miscarriage, is it necessary to take measures to prevent another miscarriage when preparing to conceive again?

Patient's question:

I was about 11 weeks pregnant last year when I experienced a miscarriage. It has been almost six months since then. A few days ago, while using the restroom, I noticed spots in my underwear that were similar to blood (not during my period), but the amount was not significant. I went to the hospital for a check-up and found that my endometrial thickness was 0.8 cm, with a left ovarian follicle measuring 0.80.6 cm and a right ovarian follicle measuring 0.70.7 cm. The doctor said it would be possible to try getting pregnant again and added that once I do, I should immediately focus on maintaining the pregnancy. I would like to know why there were spots similar to blood? Why do I need to immediately focus on maintaining the pregnancy if I get pregnant again? Is it generally the case that those with a history of miscarriage need to focus on maintaining the pregnancy first if they get pregnant again? Could maintaining the pregnancy cause any negative interference to the fetus?

Doctor's answer:

There are many reasons for recurrent miscarriage: genetic defects, systemic diseases, reproductive organ abnormalities, endocrine interference, bad habits, psychological trauma, immune function abnormalities, and environmental factors. It is recommended that both partners should go to the hospital for check-ups before getting pregnant again, as recurrent miscarriage is a difficult condition to resolve. Friends suffering from this condition should maintain a positive mindset and face it with optimism, as this can only boost their confidence in combating recurrent miscarriage and believe that recovery is possible.

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