I became pregnant twice. During the first pregnancy, bleeding started at around 7 weeks, and the doctor advised abortion, so we opted for medical abortion. During the second pregnancy, bleeding started at 6 weeks. After a sonography, the doctor prescribed tablets, but after 15 days, another scan showed no fetal growth, and medical abortion was advised again. What could be the reason for these repeated miscarriages?
Repeated miscarriage in early pregnancy can happen for several reasons, and in many cases, it is not caused by anything the mother did wrong. Early pregnancy loss is commonly related to problems in the baby's chromosome development, which may stop normal growth of the fetus. Other possible causes include hormonal imbalance, thyroid problems, uncontrolled diabetes, low progesterone levels, infections, severe stress, obesity, uterine abnormalities, autoimmune conditions, or blood-clotting disorders. Sometimes bleeding may begin first, while in other cases the pregnancy stops growing and is detected later on ultrasound, as happened in your second pregnancy. Since you have had two early pregnancy losses, it would be helpful to consult a gynaecologist for a detailed evaluation before planning another pregnancy. Your doctor may suggest tests such as thyroid function tests, blood sugar testing, hormone evaluation, ultrasound of the uterus, and sometimes special blood tests or genetic evaluation if needed. Many women who experience repeated miscarriages are still able to have a healthy pregnancy later with proper monitoring and treatment. Before trying again, maintain a healthy diet, take folic acid as advised, avoid smoking or alcohol, control stress, and attend regular medical follow-up from the beginning of pregnancy. If you become pregnant again, early scanning and close observation by your doctor may help improve pregnancy care and reassurance.