Patient's question:
After 57 days of pregnancy, natural miscarriage occurred. During this period, human chorionic gonadotropin (hCG) and progesterone levels were low, with progesterone peaking at 20.72 and hCG-B peaking at 867.Doctor's answer:
Hello!One natural miscarriage does not necessarily indicate a problem.
If there are repeated embryonic arrest and miscarriages, the following tests can help identify the cause, which can be done at a reproductive center:
Chromosomes and blood types of both partners
Re-examination of the female's TORCH (including rubella, toxoplasmosis, etc.) tests, gynecological ultrasound, sex hormones, luteal phase progesterone, antisperm antibodies, anti-endometrial antibodies, etc. Laparoscopic examination may be necessary if needed.
Semen analysis for the male, etc.
If all the above tests are normal, you and your husband may need to adjust your psychological and physiological states before trying again. Currently, 50% of natural miscarriages cannot be attributed to a clear cause. However, medical statistics show that improving lifestyle, maintaining a regular routine, eating a balanced diet, and avoiding harmful environments can significantly reduce early pregnancy loss rates. Although there is still a risk of complications, it is certain that the unhealthy ones are eliminated, and you will ultimately have a healthy child. Currently, medical technology is limited, and not all problems can be identified and resolved, which is also frustrating for us.
Regarding pre-pregnancy preparation: The female's egg growth cycle is approximately 80 days, meaning that the egg released in the current month began growing two and a half months ago. The male's sperm production cycle is three months, so both partners should ideally start preparing three months before pregnancy. You can begin by adjusting your lifestyle. For example, both partners should drink 2,000–3,000 ml of plain water daily to help detoxify; ensure a sleep schedule of 10 p.m. to 3 a.m. daily and avoid staying up late, as nighttime is the best time for rest and recovery; focus on consuming fresh fruits and vegetables to enhance antioxidant capacity; try to quit smoking and drinking alcohol and avoid toxic or harmful environments; the female should take folic acid and vitamins appropriately three months before pregnancy and during the early stages of pregnancy. The female is recommended to get a TORCH test before pregnancy and only conceive if the results are normal.
Wishing you a healthy and happy pregnancy!