What to do if threatened abortion recurs after recovery

Being pregnant is a very happy thing, but due to various reasons, there will be signs of miscarriage during pregnancy, which will make you feel very depressed. Early detection, early prevention and early treatment are important. Some women have just recovered from the first threatened miscarriage, and the sun in their hearts has just risen, but it relapses. It is really worrying. Let's learn about what to do if threatened miscarriage recurs after recovery?

Recurrent threatened abortion is characterized by two or more consecutive spontaneous abortions, which may be accompanied by vaginal bleeding and abdominal pain after menstruation. Some patients have no clinical symptoms.

First, we need to distinguish the type of abortion. At the same time, we need to differentiate it from ectopic pregnancy, hydatidiform mole, dysfunctional uterine bleeding, pelvic inflammatory disease, and acute appendicitis. Then we can take effective treatment measures.

Below we select the following different treatment methods for patients with recurrent miscarriage according to different causes:

1. For the treatment of luteal insufficiency, clomiphene and HMG are used to promote follicular development. After the basal body temperature rises, 1000-2000U of human chorionic gonadotropin is injected intramuscularly every other day to stimulate luteal function. Progesterone is used to replace luteal function therapy.

2. Treatment of polycystic ovary syndrome includes weight control, oral metformin, and luteal support during pregnancy.

3. Treatment of hyperprolactinemia: Bromocriptine, initial dose 1.25 mg, taken every night before bed, gradually increased to 2.5 mg, once or twice a day, if the dose is not reached, can be further increased. Drug treatment maintains an effective low dose. Its use during pregnancy is controversial.

4. Maintain normal thyroid function. Thyroid tablets should be used for patients with hypothyroidism. There is controversy over the use of thyroid hormones during pregnancy for patients with normal thyroid hormone levels but positive thyroid antibodies.

5. Correction of uterine anatomical abnormalities: uterine septum resection, uterine adhesion lysis, and submucosal myomectomy. There is controversy over whether a single intramural uterine myoma larger than 5 cm needs to be removed. Cervical cerclage can be an option for patients with cervical insufficiency.

6. Treatment of antiphospholipid antibody syndrome: Literature reports indicate that oral aspirin and/or combined low-dose prednisone treatment has a certain effect, and there are also reports of combined low-dose heparin treatment.

7. Treatment of patients with hereditary thrombotic tendency Patients with homocystinemia caused by abnormal expression of the methylenetetrahydrofolate reductase (MTHFR) gene should be supplemented with folic acid, vitamin B6 and B12. For patients with factor V Leiden gene mutation, protein S or protein C deficiency, heparin anticoagulation therapy can be considered during pregnancy.

Patients can find the most suitable treatment method according to the above methods to make the whole pregnancy easy and happy. I wish you a speedy recovery!