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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Abortion Twice. Had Bleeding At Early Pregnancy. Reason?

i m 25 yrs old .i met wid missed abortion on 2nd month on 19 may 2012..now again i had an abortion on 16 feb with only 3-4 days above frm d expected period..first time also i undergone with spotting 4 times in 2 months pregnancy bt dis time on 4rth day i met wid spotting followed by bleeding .... wat might b d reason behind so early abortion..wats wrong going in my conception ?
Wed, 27 Feb 2013
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OBGYN,  's  Response
Hello
Thank you for your query.
You are facing recurrent abortions.
There could be various causes for this.
The commonest cause is genetics - chromosomal abnormalities in the fetus.
Ideally the aborted material should be sent for chromosomal analysis, and you and your partner should undergo genetic evaluation.
Another cause is hormonal imbalance, with decreased progesterone levels due to conditions like polycystic ovaries etc, where the pregnancy fails to receive proper hormonal support and thus, miscarries.
Uterine abnormalities in size and shape and incompetence of the cervix could be a reason.
Intrauterine infections such as toxoplasmosis, herpes, rubella etc also cause such miscarriages.
Autoimmune conditions such as antiphospholipid antibody syndrome are leading conditions contributing to early first trimester abortions.
You should undergo a detailed couple evaluation before planning your next pregnancy.
take folic acid supplements and avoid coneption for atleast 3 months.
Take care.
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Had Abortion Twice. Had Bleeding At Early Pregnancy. Reason?

Hello Thank you for your query. You are facing recurrent abortions. There could be various causes for this. The commonest cause is genetics - chromosomal abnormalities in the fetus. Ideally the aborted material should be sent for chromosomal analysis, and you and your partner should undergo genetic evaluation. Another cause is hormonal imbalance, with decreased progesterone levels due to conditions like polycystic ovaries etc, where the pregnancy fails to receive proper hormonal support and thus, miscarries. Uterine abnormalities in size and shape and incompetence of the cervix could be a reason. Intrauterine infections such as toxoplasmosis, herpes, rubella etc also cause such miscarriages. Autoimmune conditions such as antiphospholipid antibody syndrome are leading conditions contributing to early first trimester abortions. You should undergo a detailed couple evaluation before planning your next pregnancy. take folic acid supplements and avoid coneption for atleast 3 months. Take care.