What Causes Recurrent Miscarriage?

Hi , How are you doing ? There are n number of causes for miscarriage , but in your cases I think I know the cause & will give you the solution. 1. From your history I presume you to have PCOD ( Polycystic ovaries), this is usually associated with Obesity, irregular cycles, no periods for few months & later heavy periods with clots & fleshy masses, or spotting on & off , Thyroid abnormality & prolactin problem indirectly ( this can come as a increase in the blood flow to breasts & even milk production). You develop that extra-pad of fat around the mid-segment of body, especially waist, thighs & breast, no fat beyond elbow & knees. Excessive body hair growth, hair fall , dark shade over lower half of face, acne , oily face skin, black skin over back of neck, inner thighs & under surface of breast. May have a family history of Diabetes, especially father or his family. This will not allow ovulation to occur at time & so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. When you have PCOD, the follicles forme are not healthy, so the eggs formed out of it not fully healthy. Once released from the follicle, the remains of the follicle called,corpus luteum has to support the future baby in early pregnancy, but when the follicle is not well formed, the hormonal support in early pregnancy is poor, so you have risk of early pregnancy bleeding / abortions , especially in first 3 mths. But this has a solution. Just delay pregnancy for few months. Your weight has to be Weight(in Kgs)= Height (in cms)-100 eg- If height 160cms, 160-100= 60-65 kg is expected weight. Once you reduce weight to normal range, you won t need any medicine to get periods or to get pregnant & pregnancy will be healthy. To reduce weight - NO FASTING, No junk food/ fast foods/ red meat, reduce snacks in between meals Have low calories food, high proteins Regular exercise, aerobics , yoga, brisk walking try to reduce 2-4 kgs / month. Don t hurry on weight reduction, it will be difficult to maintain. As soon as you reduce at least 5 kgs , you will see changes. Before you try for next pregnancy have Thyroid profile , Serum Prolactin ( both in empty stomach at 6-9 am) Blood sugars tested/ HbA1c aPTT, Lupus anticoagulant , Anticardiolipin Antibody ( IgG & IgM) All these problems are correctable before or during pregnancy. Have them tested before you get pregnant Hope I have clarified your query, do write back if any more queries All the best Dr.Balakrishnan