Patient's question:
Here is the English translation of the provided content, with the original line breaks preserved and all Chinese text translated into English:Symptoms of miscarriage occurred, followed by miscarriage after unsuccessful attempts to preserve the pregnancy. After getting pregnant in July this year, blood tests showed low HCG and progesterone levels, with symptoms of potential miscarriage. A color Doppler ultrasound revealed a very small gestational sac, much smaller than normal. It miscarried again.
History of treatment and effectiveness: Both pregnancies ended in miscarriage before 3 months, and both times it was reported that the gestational sac was underdeveloped.
My menstrual cycle is very regular, with a period of 28-31 days and a duration of 7 days.
What kind of help do you want: Why does this happen, and how should it be treated?
Doctor's answer:
Hello, recurrent miscarriage, or repeated biochemical pregnancy, is recommended to check the karyotypes of both partners. The male also needs to check semen and sperm morphology, Mycoplasma, Chlamydia, and Neisseria gonorrhoeae infection. For the female, it is recommended to check Toxoplasma, rubella, blood glucose, insulin resistance, thyroid function, six sex hormones,, antinuclear antibodies, anticardiolipin antibodies, coagulation function, D-dimer, and platelet aggregation. If the female is type O blood and the male is non-O blood type, it is recommended to further check blood type antibodies. The above are some examination suggestions for patients with repeated miscarriage or biochemical pregnancy. It is recommended to check at a local standard Grade 3A hospital. An occasional natural miscarriage is generally considered a phenomenon and does not require examination.