Patient's question:
I had my last menstrual period on October 5th, underwent surgery for a breast fibroadenoma on October 21st, experienced slight bleeding on October 31st, had two positive urine tests on November 4th and 5th, and around November 10th, I noticed a small amount of dark brown material that lasted for a week before followed by heavy bleeding. The doctor believes I may have already experienced a natural miscarriage, which would be my second one. Last June, I also had a natural miscarriage around 40 days into the pregnancy. I am asking all the experts and scholars in obstetrics and gynecology: what could be the reason for this? Is it because I am too old? I studied in Switzerland and one of my classmates, who is Chinese and three years older than me, is also living abroad.Doctor's answer:
Hello: Habitual abortion refers to the occurrence of three consecutive miscarriages within the same gestational month. Women over 35 are considered high-risk pregnant individuals, and pregnancy itself carries an inherent risk of miscarriage. It is best for you to visit the hospital for examination to identify the cause of the miscarriage. Regardless of whether the issue lies with either partner, timely treatment is necessary, and children should only be conceived after recovery.For individuals with chronic diseases, it is essential to actively treat the condition before pregnancy. Even after conception, close monitoring under medical supervision is required to observe fetal development. If the doctor advises against pregnancy, measures such as contraception or termination of pregnancy should be taken.
Women who are already pregnant should avoid exposure to harmful chemicals such as benzene, arsenic, mercury, and radiation. During the early stages of pregnancy, it is advisable to minimize visits to public places to prevent viral infections. If a pregnant woman becomes ill, she should take medication under the guidance of a doctor and avoid self-medication.
Additionally, sexual intercourse should be avoided during the first three months of pregnancy, and excessive mental stress or emotional excitement should be avoided. Pay attention to diet and ensure adequate rest.
For pregnant women with luteal phase deficiency, low-dose progesterone can be used. In cases of cervical incompetence, cervical cerclage may be performed in the early stages. Fetal abnormalities should not be subjected to blind attempts at preservation. If there is vaginal bleeding exceeding menstrual flow, frequent uterine contractions, cervical dilation, or leakage of amniotic fluid—indicating inevitable miscarriage—preservation efforts will be ineffective.