Can endometrial hematoma lead to fetal demise?

Patient's question:

I have recently experienced a miscarriage again. I am very sad. In this situation, can intrauterine bleeding cause a miscarriage?

Doctor's answer:

Most recurrent miscarriages occur within the first three months of pregnancy and are related to chromosomal abnormalities and sperm quality. However, they can also be influenced by factors such as the uterine environment within the mother's body, maternal immunity, and external viral infections, leading to recurrent miscarriages. Therefore, your uterine bleeding may have caused a miscarriage, and the reason for the recurrence of uterine bleeding may also be related to miscarriage, such as low progesterone levels, for example. It is recommended to conduct further detailed examinations to determine the cause of the miscarriage to prevent it from happening again in the future.

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