Having experienced one or more miscarriages or abortions, many couples planning to conceive are deeply troubled. When this happens repeatedly, it's important to conduct a thorough examination rather than continuing attempts blindly. This article lists common areas for investigation in cases of recurrent miscarriage (also known as "recurrent abortion"). These guidelines can help you communicate with your doctor.

1. First, clarify what "recurrent" means

Generally, two or more consecutive miscarriages are considered recurrent abortion (the threshold may vary depending on the guidelines). It's recommended to undergo a comprehensive examination. If an abortion occurs only once, it's likely due to accidental factors and there's no need for excessive worry. However, basic assessments can still be conducted.

2. First area of investigation: Chromosomes/Genetics

• Sperm and egg chromosomes: Check for genetic abnormalities such as balanced translocation;
• Embryonic chromosomes: Test the remains of the aborted embryo to determine if there are chromosomal issues (common in older women).

3. Second area of investigation: Immunity and Coagulation

• Autoimmunity: Conditions like antiphospholipid syndrome can be important causes;
• Thrombophilia: Evaluate coagulation function and related antibodies. This should be done under the guidance of a professional doctor.

4. Third area of investigation: Endocrine and Metabolism

• Thyroid function (both hyperthyroidism and hypothyroidism can affect pregnancy);
• Blood sugar/insulin resistance (especially in cases of PCOS);
• Luteal function, prolactin levels, etc.

5. Fourth area of investigation: Anatomical Structure

• Uterine malformations, intrauterine adhesions, fibroids, polyps, etc. can be assessed through ultrasound and hysteroscopy.

6. Fifth area of investigation: Male Factors

• In addition to routine semen analysis, DNA fragmentation rates can be tested if necessary. These factors are related to embryo quality.

7. Recommendations

• Comprehensive examinations, not piecemeal investigations: It's recommended to seek out reputable institutions that have the necessary expertise to conduct thorough examinations, rather than trying to find answers quickly.
• Psychological aspects are equally important: Recurrent miscarriages often lead to anxiety. Partner support and professional counseling are essential.
• Most issues can be addressed: Many factors, such as thyroid, immunity, and anatomical issues, can be treated. Don't give up easily.

8. Reminders from Leilawa

The investigation for recurrent miscarriages is a medical process. This article provides guidelines, but it does not offer diagnoses. Please use this list to consult with a reproductive specialist or abortion clinic in a reputable institution for personalized evaluation.