WOMENS-HEALTH Messages for June, 2000: Re: Question about miscarriages

Re: Question about miscarriages

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 8 Jun 2000 21:15:36 -0500 (CDT)

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In reply to: Lori: "Question about miscarriages"

At Thu, 8 Jun 2000, Lori wrote: >
>Hi everybody...
>Before I get to the question, just wanted to let you know that my abcess
>is drained, I'm pain free and feel like a new woman =0)
>
>I just came back from visiting a friend, who called me in tears. She
>has had yet another miscarriage. She has been trying for several years
>to get pregnant, and has a hard time concieving. She only has one
>tube/ovary because of a tubal pregnancy a few years back. She is also
>rh negative. Whenever she does conceive, she always miscarries between
>4-6 weeks. She is young, in her early 20's. Her doctor is not at all
>compassionate, and in fact is quite rude to her. She wants to have some
>kind of testing to find out why this is happening, but he says there is
>nothing he can do, and it's just "not in the cards" for her to be
>pregnant! I told her she needs to find a new doctor, but what she wants
>to know is if what he is telling her is true. Are there any tests that
>can be done to find out what the problem is, and possibly correct it?
>And if so, what kind of tests are possible? She wants to go to a new
>doctor educated and aware, and know what to ask him or her about.It
>seems to me in an age where we can clone sheep, we should be able to
>have some kind of testing done to find out why a human is having trouble
>carrying pregnancies!
>
>Thanks for your help,
>Lori

In general, the most common cause of a 4-6 week miscarriage is just a late period and there was never a pregnancy to begin with. We see this a lot less now since we have accurate early pregnancy tests. If there was a positive test there was a pregnancy. Then the next most common cause is too many or too few chromosomes. This comes about as a result of abnormal division of either the sperm or the egg or of the zygote after fertilization has occurred. After 3 consecutive miscarriages, most OBGYN's will work up the patient to try to see if there is a treatable cause. Sadly, there usually isn't, but you don't know until you have looked.

RDB

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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