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Management after spontaneous miscarriage.

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FAQ100 -- Repeated Miscarriage What is repeated miscarriage? Repeated miscarriage, or recurrent pregnancy loss, is defined as having two or more miscarriages. After three miscarriages, a thorough physical exam and testing are recommended. What is the likelihood of having repeated miscarriages? A small number of women (1%) will have repeated miscarriages. What is the most common cause of miscarriage? Most miscarriages (about 60%) occur randomly when an embryo receives an abnormal number of chromosomes during fertilization. This type of genetic problem happens by chance; there is no medical condition that causes it. However, it becomes more common in women of increased reproductive age. Are there other genetic problems associated with repeated miscarriage? In a small number of couples who have repeated miscarriages, one partner has a chromosome in which a piece is transferred to another chromosome. This is called a translocation. People who have a translocation usually do not have any physical signs or symptoms, but some of their eggs or sperm will have abnormal chromosomes. If an embryo gets too much or too little genetic material, it often leads to miscarriage. Are problems with reproductive organs associated with repeated miscarriage? Certain congenital problems of the uterus are linked to repeated miscarriage. Although there are many such disorders, one of the most common that has been associated with miscarriage is a septate uterus. In this condition, the uterus is partially divided into two sections by a wall of tissue. Asherman syndrome, in which adhesions and scarring form in the uterus, may be associated with repeated miscarriages that often occur before a woman even knows she is pregnant. Fibroids and polyps, which are benign (non-cancer) growths of the uterus, also may play a role in recurrent pregnancy loss. • What is repeated miscarriage? • What is the likelihood of having repeated miscarriages? • What is the most common cause of miscarriage? • Are the

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