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Recurrent miscarriage is generally defined as two or more consecutive pregnancy losses, most often occurring during the first trimester, though some guidelines set the threshold at three. A miscarriage typically occurs before 20 weeks of pregnancy, with the majority happening within the first 12 weeks. While the experience can be emotionally overwhelming, recurrent miscarriage is a medical condition that can often be investigated and treated. Causes range from chromo****l abnormalities and hormonal disorders to uterine abnormalities, antiphospholipid syndrome, and PCOS. Diagnosis usually involves a detailed medical history, ultrasound scans, genetic testing, and specific blood tests to identify the underlying cause. Treatment is tailored accordingly — it may include managing hormonal imbalances, blood-thinning medication for clotting disorders, surgery for uterine issues, a cervical stitch, or fertility treatments like IUI or IVF with advanced embryo testing. In select cases involving suspected alloimmune factors, Lymphocyte Immunization Therapy (LIT) may be discussed after careful evaluation, though it's reserved for specific patients and remains an area of ongoing research. With the right diagnosis and personalized care, many couples go on to have a healthy pregnancy after recurrent miscarriage.
