Patient's question:
I am 27 years old. In 2009, I had my first pregnancy, which was a miscarriage (embryonic arrest), and I had an abortion. In the second half of that year, I got pregnant again and gave birth to my healthy daughter. However, both times I got pregnant last year and this year, it was embryonic arrest. Now it has been diagnosed, and I will have an abortion this afternoon. For three consecutive cases of embryonic arrest, what tests are needed to get pregnant again?Doctor's answer:
The causes of recurrent miscarriage mainly include chromosomal abnormalities (abnormalities in sperm and egg chromosomes), endocrine disorders, reproductive organ diseases (bicornuate uterus, septate uterus, uterine malformation, pelvic tumors, etc.), systemic diseases in pregnant women (acute infectious diseases such as influenza, typhoid, pneumonia, as well as chronic conditions like severe anemia, heart failure, chronic nephritis, and hypertension), and blood type incompatibility between mother and child. It is essential to identify the underlying cause and provide targeted treatment.The following detailed examinations are recommended:
For the male partner: Semen analysis, blood type, and chromosome testing.
For the female partner: Vaginal smear, blood type, chromosome testing, and evaluation of uterine development, etc. Once the cause is identified, targeted treatment should be administered to prevent recurrent miscarriage.