Other Reproductive Problems

Recurrent Pregnancy Loss

The chance of miscarrying any pregnancy is about 15%. Recurrent pregnancy loss is the term used after 3 miscarriages, though sometimes after 2. We can offer full investigations for this condition and provide not only treatment but also support during pregnancy. There are many causes including chromosomal (genetic), hormonal, immune, and abnormal blood clotting. The investigations include hormonal assessment, pelvic ultrasound scan to assess the cavity of the uterus and the ovaries, blood tests to detect any increased tendency for the blood to clot, and genetic chromosome analysis of both partners. Support (in the form of regular scans and reassurance) in early pregnancy in women with recurrent pregnancy loss has been shown in studies to increase the chance of a successful pregnancy.

Recurrent treatment failure

It is not unusual for many couples to go through repeated fertility treatment attempts unsuccessfully, and keep being advised to carry on doing the same treatment next time without further investigations. We offer detailed investigations of the causes of recurrent treatment failures, such as genetic chromosome analysis, careful investigation of the womb, and immune causes. Treatment is then offered accordingly.

For example in situations of recurrent IVF failure due to difficult embryo transfer we would advise performing trans-myometrial embryo transfer (TMET) under ultrasound guidance. This is a technique in which our Consultants have more expertise than any other group in the UK. In this technique the embryos are placed in the womb using a special needle under real-time ultrasound guidance.

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