A patient sent me this email
Doctor, I have had many miscarriages at 8 weeks of pregnancy. I have no problem getting pregnant, but the last 5 pregnancies have ended in a missed abortion. I am at my wit's end - what should I do ?
Recurrent miscarriages are a very frustrating problem for both doctors and patients ! Patients blame themselves for the death of their baby, and doctors are unable to provide an accurate diagnosis or a reliable solution.
We do know that the commonest reason for a miscarriage is a genetic abnormality in the fetus, and this is Nature's defense mechanism, to prevent the birth of an abnormal baby. While these defects are often random, they are commoner in older women. This is because these eggs have more genetic abnormalities, because they have "aged" and have genetic defects, which we do not yet have the technology to be able to screen for.
While we do perform basic tests to rule out correctable anomalies, in most patients we are not able to pinpoint the underlying cause, which means we are often shooting in the dark, and the only treatment we can offer is empiric therapy !
You can read more about this at https://www.drmalpani.com/knowledge-center/articles/recurrentabortion