In recent years it is common to see an endocrinology specialist for “recurrent miscarriages”, a multidisciplinary pathology that is treated jointly by gynecologists, endocrinologists, immunologists, hematologists and other specialists.
Repeated miscarriages
Repeat miscarriages are considered when there have been two or more (or three consecutive) pregnancy losses documented ultrasonographically or by histopathological examination. All occur before the 20th week of gestation.
Causes of repeat miscarriages
The most frequent causes of repeat miscarriages are of anatomical, endocrine, immunological, genetic and – often – unknown origin.
A genetic study (karyotype) of uterine abnormalities, immunological (antiphospholipid syndrome), hematological (coagulation factors) and endocrine (thyroid function, insulin resistance, diabetes mellitus, study of the cycle, with special attention to Prolactin and Progesterone, luteal phase, as well as polycystic ovary, etc.) should be carried out.
Normally, the treatment of one or several factors that cause it provides good results, with high frequency to achieve pregnancy at term.