What are the reasons for a natural miscarriage at 37 days of pregnancy?

Patient's question:

I feel very sad because I finally got pregnant after a lot of effort, and I'm only 37 days pregnant, but now I've had a natural miscarriage. Moreover, I've never been pregnant before, and there were no signs at all; it happened instantly. What could be the reason for a natural miscarriage at 37 days of pregnancy?

Doctor's answer:

In all clinically diagnosed pregnancies, the incidence of spontaneous abortion is approximately 15%. Over 80% of miscarriages occur within the first 12 weeks of pregnancy. More than half of early miscarriages are caused by chromosomal abnormalities in the embryo. Additionally, conditions such as luteal phase defect, polycystic ovary syndrome, hyperprolactinemia, uterine malformations, and reproductive tract infections can also lead to miscarriage. It is recommended that you and your husband undergo a comprehensive preconceptional health check-up at a regular hospital before the next pregnancy. After a miscarriage, it is important to rest and avoid sexual activity or tub baths for the first month. After the first month, implement contraceptive measures, and wait at least one year before attempting to conceive again.

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