Patient's question:
Doctor, hello! My sister-in-law is 30 years old this year. She got pregnant twice last year and this year, but both times she miscarried around 50 days without any symptoms. The doctor at the hospital said they couldn't determine the cause.Doctor's answer:
Infected with HPV virusIf you already know that HPV virus is related to cervical cancer, the latest medical findings also show that HPV virus is related to miscarriage. However, a routine cervical smear test cannot detect whether you have been infected with HPV.
Solution: Women preparing for pregnancy should undergo both cervical smear tests and HPV DNA tests to protect their cervical health and ensure a smooth and healthy delivery in the future.
Uterine fibroids
Women with uterine fibroids have a 3 times higher risk of miscarriage. This is because uterine fibroids compress the local tissues of the uterus, causing the uterine cavity to deform and the endometrial surface to develop ulcers, all of which are unfavorable for embryo development and can lead to miscarriage.
Solution: Uterine fibroid enucleation surgery can be performed without hysterectomy to preserve fertility.
Relaxation of the internal cervical os
This condition is prone to cause miscarriage in the second trimester (around 5 months). As the fetus grows, amniotic fluid gradually increases, and intrauterine pressure continues to rise, causing the cervical os to protrude and leading to rupture of the fetal membranes. Relaxation of the internal cervical os is often related to previous cervical injuries, multiple induced abortions, etc.
Solution: Cervical cerclage can be performed between 12 and 15 weeks of pregnancy, or cervical repair surgery can be done during the non-pregnancy period for treatment.