Patient's question:
My wife is pregnant and had spotting around 50 days. The doctor diagnosed it as threatened miscarriage and performed an abortion. Now my wife is pregnant again and has spotting. She went to the hospital for a check-up.Doctor's answer:
Like this phenomenon where natural miscarriage occurs each time, it should be considered as habitual abortion, which is related to D&C, but the actual cause may not be there. There are many reasons for miscarriage. The most common cause of early miscarriage is chromosomal abnormalities, endocrine disorders, uterine developmental abnormalities or malformations, lesions, infections, immune factors, and blood type incompatibility. It is recommended that both partners undergo pre-pregnancy tests before pregnancy. Pre-pregnancy tests should include general physical examinations, gynecological examinations, as well as blood and urine tests, liver function tests, hepatitis B surface antigen tests, and detection of some special pathogens (special pathogens include Toxoplasma, rubella virus, cytomegalovirus, and herpes simplex virus to determine their infection status). Women of childbearing age should also undergo a B examination and gynecological examination before pregnancy to understand the condition of the uterus and appendages. When necessary, tests for chromosomes, antibodies, blood type, and endocrine should be conducted.