Habitual abortion

Habitual abortion or repeated miscarriages means that at least three pregnancies have resulted in miscarriage. A distinction is made between whether a patient has already given birth to a child or if all pregnancies have ended in miscarriage.

This condition is very detrimental not only due to the fact that the pregnancy ended in such a devastating way but also because often an operation, such as curettage, becomes necessary.

Possible causes of an amalgamation of miscarriages are as follows:

  • Uterine malformation: for example, there might be a septum, in other words a small additional wall in the uterine cavity. Sometimes, the mother may have a second uterus or one that is heart shaped.
  • Coagulopathy: e.g. the so-called “antiphospholid – syndrome” or lack of clotting factors
  • Abnormalities in the chromosomes of the couple: sometimes a piece of a chromosome has broken off and been deposited onto another chromosome. Therefore, even though both partners may be perfectly healthy, an abnormality can still occur in the chromosomes of the child.
  • Hormonal disorders: of the thyroid or of the corpus luteum
  • Infections of the uterus as a result of germs such as ureaplasma or toxoplasma

This clarification should be helpful in finding a possible cause. In case no clear cause can be found it is possible to achieve a pregnancy through special medical treatment.

Malformation of the uterus

The growing child’s organs are already formed in the first weeks of pregnancy. Certain disorders and abnormalities can sometimes manifest which may lead to inborn malformations.

In the case of an inability to conceive or if a miscarriage occurs in the early stages of pregnancy, it is especially important to exclude the possibility of uterine dysplasia. This can be confirmed by ultrasound, hysteroscopy, laparoscopy or a hysterosalpingography.