Recurrent miscarriage is called recurrent miscarriage in medical terms, which refers to the phenomenon of spontaneous abortion of two consecutive pregnancies in the same gestational week, which is the most common complication. It has to be said that patients with repeated spontaneous miscarriages are more painful than infertile patients, they experience the joy of pregnancy every time, but in the end they have to face miscarriage and fall into a desperate situation. So why do women have recurrent miscarriages?Can IVF have a coping strategy?
1. Why do women have recurrent spontaneous abortions?
A miscarriage may bring great physical and mental trauma to a woman, but repeated miscarriages are based on this and bring endless pain to the whole family. Therefore, it is urgent to identify the triggers of miscarriage and respond to them so that they do not repeat the mistakes of the past. There are many causes of recurrent spontaneous miscarriages, but the following two are more common and intractable
1. Chromosomal abnormalities.
If one or both of the husband and wife have chromosomal abnormalities, it is very easy to cause chromosomal abnormalities in the embryo, resulting in fetal arrest and miscarriage during pregnancy. Clinical data show that 90% of abortions are caused by embryo quality problems, and about 60% of these miscarriages are caused by chromosomal abnormalities of the embryos themselves.
2. Uterine abnormality.
The uterus is an important place to give birth to life, when the female endometrium is too thin or too thick, or the uterus has uterine fibroids, endometriosis, uterine polyps and other abnormalities, it will be extremely unfavorable to the growth and development of the embryo, which is very easy to cause recurrent miscarriage.
In addition, endocrine system disorders, immune system imbalances, reproductive tract infections, unhealthy lifestyle and eating habits, etc. are closely related to repeated spontaneous abortions, and it can be said that the ** of repeated spontaneous abortions is quite complex.
So for women with recurrent miscarriages, is there any good pregnancy countermeasure for IVF?
2. IVF is a good pregnancy countermeasure to avoid repeated miscarriages.
For such women, to do IVF, through the three good pregnancy countermeasures, they can get out of the fertility dilemma and welcome the dawn of a new life.
Hysteroscopy + timely transplantation: to avoid recurrent miscarriage caused by uterine abnormalities.
The intrauterine environment is an important factor affecting the pregnancy rate, and as mentioned above, if the uterus is abnormal, it is very easy to cause recurrent spontaneous abortion. Therefore, in order to ensure that the environment in the womb meets the criteria for blastocyst transfer, the IVF doctor will ensure that it meets the criteria for blastocyst transfer.
Hysteroscopy.
Hysteroscopy is a kind of fiber light source endoscope used for intrauterine examination and diagnosis and treatment, this examination is non-invasive, and is carried out simultaneously when women carry out egg retrieval, just simply take care of the environment in the female uterus through the endoscope, and can accurately and intuitively carry out a series of operations such as detailed examination, analysis and diagnosis and treatment of the female uterus.
If a woman suffers from endometrial polyps, intrauterine adhesions, uterine longitudinal and horizontal, uterine submucosal fibroids and other symptoms, electroresection can be performed in time, while hysteroscopic surgery is minimally invasive, no laparotomy, less bleeding, fast postoperative recovery, and can preserve the physiological integrity of the uterus, and the corresponding diagnosis and treatment can promote uterine repair. After hysteroscopy repair, it can effectively avoid the risk of recurrent miscarriage caused by uterine abnormalities.
Transplant at the right time. If there is no abnormality in the uterus, it does not mean that the uterus is suitable for transfer, and only when the blastocyst is transferred during the "implantation period" can the blastocyst implantation be better guaranteed. Therefore, only when the woman's uterus is in good shape, the endometrial thickness reaches the standard (8-12mm), the texture is soft, the blood flow is abundant, the endocrine level is balanced and there are no other abnormalities, the high-quality embryos will be transferred in a qualitative and quantitative way, so as to greatly improve the pregnancy rate.
Post-transplant luteal support: maintain pregnancy and prevent recurrent miscarriages.
After blastocyst transfer, in order to ensure that the patient can implant and maintain the pregnancy better, the IVF doctor will inject natural progesterone HCG into the woman to promote luteal cell hyperplasia and the synthesis and secretion of progesterone, support the function of the corpus luteum, increase the receptivity of the endometrium, and keep the myometrium in a quiescent state, which will help the blastocyst to implant and grow and develop better, so that the pregnancy can be maintained and smooth.