Treatments to stay pregnant after multiple miscarriages?
The treatments available to reduce your chance of another miscarriage will vary, depending on diagnosis.
Diminished ovarian reserve may respond well to fertility treatments using your own eggs, or you may need to go the route of egg donation, using a semen bank, or adopting an embryo. These options may not be ideal if, like most couples you desire a genetically related baby, but they are good options and during diagnosis we may determine to cross those bridges when we get there, meaning we will usually try a number of things first.
Treatment for autoimmune conditions or blood clotting disorders can lower your chance of another miscarriage by a large amount, but we can never get you down to a zero chance of miscarriage. For example, if you have a blood clotting disorder and we treat you with a ‘baby aspirin’ a day (81 mg low-dose aspirin) combined with blood thinner shots (such as Heparin or Low Molecular Weight Heparin), your next pregnancy could still be genetically abnormal and end up as a miscarriage. The shots can’t fix the genetic abnormality. But blood thinners, given as small shots under the skin in the stomach area that can be administered at home, can improve your chance of success.
Problems in the uterus may need surgery, which perform inhouse in an outpatient procedure. Patients will be home, recuperating in a few hours and sometimes this is all that is needed to carry the next pregnancy to term.
If one partner has a genetic rearrangement, we can do IVF (In Vitro Fertilization) with Preimplantation Genetic Testing (PGT) to select healthy embryos with the correct number of chromosomes. IVF with PGT testing gives coupes the best chance of success and we are experts at this procedure. We now perform genetic testing on all IVF embryos as our standard of care. When we know what to look for, we can avoid a number of genetic diseases and remove them from the family bloodline going forward.
Another option for a couple with a translocation is to use donor eggs or donor sperm instead of the partner’s eggs/sperm who is carrying the genetic abnormality. Adopting an embryo may also be a good option.