Diagnostic Tests for Recurrent Miscarriage Causes

Recurrent miscarriages are defined as having two or more consecutive miscarriages. Understanding the underlying causes of recurrent miscarriage is essential for managing and preventing future losses. Diagnostic tests play a vital role in identifying these causes and guiding effective treatment strategies. 

The best gynecologist in the city provides an overview of the key diagnostic tests used to investigate recurrent missed miscarriage causes.

Diagnostic Tests for Recurrent Miscarriage Causes

1. Genetic Testing

• Purpose

Genetic testing can identify chromosomal abnormalities in either parent that may contribute to miscarriage. This includes testing for conditions such as balanced translocations, which can lead to the embryo having an abnormal number of chromosomes.

• How It Works

Both partners usually undergo karyotyping, a blood test that analyzes the chromosomes for structural or numerical abnormalities. If an abnormality is found, genetic counselling can help interpret the results and discuss potential implications for future pregnancies.

• When to Use

Genetic testing is recommended if recurrent miscarriages occur without an identifiable cause or if there is a history of known genetic disorders in the family.

2. Hormonal Assessments

• Purpose

Hormonal imbalances can impact pregnancy viability. Tests evaluate levels of hormones such as progesterone, which is crucial for maintaining a pregnancy.

• How It Works

 Blood tests measure hormone levels at various points in the menstrual cycle. Abnormal levels may indicate issues such as luteal phase defect, where the body does not produce enough progesterone.

• When to Use

Hormonal assessments are considered when there is a suspicion that hormonal imbalances are contributing to miscarriage. This is recommended especially for women with irregular cycles or known endocrine disorders.

3. Uterine Evaluation

• Purpose

 Structural abnormalities in the uterus, such as fibroids, polyps or septum, can impede the implantation and development of the embryo.

• How It Works

Diagnostic procedures include hysteroscopy, where a thin, lighted tube is inserted into the uterus to directly view its interior and saline infusion sonography, which uses ultrasound and a saline solution to enhance the image of the uterine cavity.

• When to Use

 Uterine evaluations are recommended if there are symptoms suggestive of structural issues. It is also suggested if recurrent missed miscarriages causes are not clear from other tests.

4. Infectious Disease Screening

• Purpose

Certain infections can impact pregnancy health and lead to miscarriage. Screening for infections ensures that any potentially harmful conditions are identified and treated.

• How It Works

Blood tests and cultures are used to identify infections such as bacterial vaginosis, sexually transmitted infections (STIs) and other pathogens that could affect pregnancy.

• When to Use

Infectious disease screening is considered if there are symptoms of infection or if recurrent miscarriages occur along with other signs of illness.

Conclusion

If you have experienced recurrent miscarriages, consider discussing these diagnostic options with your gynecologist. This will enable them to develop a treatment plan after determining recurrent missed miscarriage causes for addressing your specific concerns.