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Trying After Miscarriage
Hyacinth Nicole Browne, MD posted:
"Try, try, and try again," is my motto when I talk with women who have had an early pregnancy loss. Miscarriages, early on in pregnancy, are very common. About 12-15% of clinical pregnancies (i.e. documented by ultrasound or a tissue diagnosis) will spontaneously abort, and most losses occur before 8 weeks of pregnancy. The most common reason for an early loss is a genetic abnormality of the egg, sperm, or embryo and this is often a spontaneous event that should not recur. Usually after an early loss, most women are able to conceive on their own without any difficulty or intervention.

However, when a couple has experienced two or more failed pregnancies, I generally recommend that they undergo an evaluation to see whether they have any predisposing factors for recurrent miscarriages. Certain genetic and hormonal disorders, uterine abnormalities, and immune disorders have been linked to recurrent pregnancy loss. Most of the time, the evaluation does not reveal anything and these couples end up doing just fine with emotional support and reassurance.

In the end, it is important to remember that most couples who have experienced a loss are likely to achieve a successful pregnancy. I always find that support from one's family, friends, and physicians can be very comforting and helpful during this difficult time.

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