What is the treatment for habitual miscarriage?

What is the treatment for habitual abortion? Habitual abortion is one of the causes of female infertility and one of the more serious factors. If habitual abortion occurs, the main cause of habitual abortion should be found out in time, and symptomatic treatment can be cured. So what is the treatment for habitual abortion?

There are many reasons for habitual miscarriage in patients, such as corpus luteum insufficiency, hypothyroidism, congenital uterine malformation, uterine developmental abnormalities, intrauterine adhesions, uterine fibroids, chromosomal abnormalities, autoimmunity, etc.

In addition, habitual late miscarriage is caused by relaxation of the internal cervical os, which is mostly caused by damage to the cervical os caused by curettage or cervical dilation. A few may be congenital developmental abnormalities. After the second trimester of pregnancy, such patients will experience an increase in amniotic fluid, a larger fetus, and increased intrauterine pressure, and the fetal sac may protrude from the internal cervical os. When the intrauterine pressure increases to a certain level, the membrane will rupture and miscarriage will occur. Therefore, there are often no subjective symptoms before miscarriage.

In the face of habitual abortion, patients need timely symptomatic treatment:

1. Different situations require different treatments. If one of the couple has chromosomal abnormalities, it is best to avoid pregnancy. Once pregnant, prenatal diagnosis should be performed in a timely manner, and termination of pregnancy should be performed if abnormalities are found.

2. If the bacterial culture of the female's cervical discharge and the male's semen is positive, they will be given corresponding treatment according to the drug sensitivity test until they recover. During the treatment, private condoms should be used for contraception.

3. For patients with luteal insufficiency, progesterone can be supplemented. If there is a possibility of pregnancy, progesterone 10-20 mg/d can be given from the 3rd to 4th day after the basal body temperature rises. After the pregnancy is confirmed, the treatment should be continued until the 9th to 10th week of pregnancy.

4. Patients with subclinical hypothyroidism should be given appropriate doses of thyroxine. Uterine septum and uterine fibroids should be corrected surgically before pregnancy.

5. In addition to the above situations, for incomplete cervical closure, it is appropriate to perform cervical suture after pregnancy. It is generally recommended to be performed under general anesthesia around 16 weeks of mid-pregnancy after excluding fetal malformation or stillbirth. Regular follow-up after surgery. If there are signs of miscarriage or premature birth, remove the sutures in time to avoid serious damage to the cervix. If the pregnancy is successfully preserved, it is necessary to be admitted to the hospital 2 to 3 weeks before the expected date of delivery. After labor, the sutures will be removed immediately to wait for delivery.

There are many ways to treat habitual abortion. Patients need to pay attention to understand their specific condition during treatment and treat it symptomatically. Do not blindly treat it and miss the best time for treatment.