As unfortunate and heartbreaking as they are, miscarriages are fairly common. Many women who are of fertile age will suffer a miscarriage, which is the loss of a pregnancy within the first three months. What is much less common is recurrent miscarriage. Recurrent miscarriage is defined as having two or more miscarriages.
If a woman has experienced three miscarriages, it is time to consider testing to determine what is causing the losses. At Pacific Fertility Center, our doctors offer our Los Angeles, CA, Glendale, CA, and San Fernando Valley, CA, patients a range of recurrent miscarriage tests to find out what is causing pregnancy loss so that we can recommend an appropriate treatment plan.
Blood tests can provide our fertility doctors with a lot of valuable information when it comes to determining the cause of recurrent miscarriage for our patients. Blood tests can test levels of proteins, progesterone, and thyroid hormones that all play a role in maintaining a healthy pregnancy. Other diseases and medical conditions that can be diagnosed through blood testing include pelvic inflammatory disease, antiphospholipid syndrome, and sexually transmitted diseases, all of which increase the risk of a miscarriage.
The majority of miscarriages are caused by chromosomal abnormalities. Most abnormalities are simply the result of chance. However, in some instances, the mother or father has genetic variations that cause the sperm or egg to have the wrong number of chromosomes. If a woman has suffered recurrent miscarriage, it is worth performing genetic screening to determine if any genetic variations are present.
An ultrasound uses sound waves to create images of the structures and organs of the body. A transvaginal ultrasound is often performed when testing for the cause of recurrent miscarriage. A transvaginal ultrasound allows our doctors to evaluate the uterus and look for polyps, fibroids, uterine growths, and ovarian or endometrial problems that could be leading to pregnancy loss.
A hysterosalpingogram, or HSG, is another test that allows us to evaluate the uterus and female reproductive system to look for issues that could be causing recurrent miscarriage. During this test, we inject a dye into the uterus and perform an x-ray that provides images of the uterus and fallopian tubes. This test can diagnose a misshapen uterus. It is also able to determine if the fallopian tubes are open, or if there are conditions that are causing a blockage.
If an HSG detects fibroids, polyps, or other abnormalities, a hysteroscopy may be scheduled. During this test, a thin telescope is inserted into the uterus. This provides our doctors with a more accurate image of the patient’s reproductive system. In many cases, small problems may even be repaired during the procedure.
One of the last tests that we may consider for our patients is an endometrial biopsy. This test can be performed in conjunction with a hysteroscopy. We will remove a small sample of endometrial tissues and test it for irregularities that could make the uterus incapable of supporting a pregnancy.
At Pacific Fertility Center, our doctors offer a comprehensive range of fertility treatments that can assist women who have experienced recurrent miscarriage. Send us a message at your earliest convenience to learn more about our fertility services, or call (818) 952-0328 to schedule an appointment. We serve patients in Los Angeles, Glendale, and San Fernando Valley.