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 about a week before heavy bleeding occurred. The doctor believes that 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? However, one of my classmates from my time studying in Switzerland is three years older than me (and also Chinese) and is living abroad.Doctor's answer:
Habitual abortion refers to the occurrence of three or more consecutive spontaneous miscarriages. In recent years, recurrent abortion has replaced habitual abortion, referring to two or more natural miscarriages. The clinical manifestations of habitual abortion are similar to those of general abortion and can also progress through stages such as threatened abortion, inevitable abortion, incomplete or complete abortion. In the early stages, it may only manifest as slight vaginal bleeding or mild lower abdominal pain. The bleeding duration can last for several days or weeks, with relatively small blood volume. Once vaginal bleeding increases and abdominal pain worsens, and the cervical os is already dilated, with even the fetal sac blocking the cervix, the abortion becomes unavoidable. If the entire pregnancy product is expelled, it is called a complete abortion; if only a part of the pregnancy product is expelled and some remains in the uterine cavity, it is called an incomplete abortion, requiring immediate uterine evacuation.