GynoFiles

Low dose aspirin is the new way to prevent a second and third miscarriage is to begin aspirin before becoming pregnant has now been shown to be effective in a new study .They studied women of ages 18 to 40, who had had one or miscarriages, and those who miscarried at any point. Beginning low dose aspirin therapy before conception i increased conception rates by 28% in women with a history of only one pregnancy loss of second miscarriage such as checking the lining of that baby bed (the uterus) is read y including hormonal checks and infection checks February 2014 Fertility and Sterility Other tests including an endometrial biopsy and hormone measurements to check on the progesterone levels, and further more evaluating gynecologic problems like fibroids, or  medication use, lack of vitamins or other nutritional deficiencies, chromosomal problems, or perhaps problems with the male sperm count. And if problems are identified then treating them. Some women are ready physically bu...

With the advent of early pregnancy tests we now have found many women who have had repeat or recurrent miscarriages. Your gyno will check may aspects of your health to help you avoid repeat miscarriages, including treating uterine or cervical infections, giving hormonal therapies for those with lower placental progesterone production, correcting nutritional problems like diabetes, as well as searching for abnormalities of the uterus itself that can cause miscarriages. And if those don't reveal the problem, looking for abnormalities in the sperm can reveal the cause of the miscarriage. But now there is another test that is specifically for those who have had more than one miscarriage: looking for chromosome reasons in mom, dad, and the fetal tissue. The test is called Anora, miscarriage test , and it is done of the products of conception, which means placental tissue for most. If you have miscarried at home, saving the tissue in a clean jar and bringing it to your gyno can be suffi...

One in four pregnancies are lost to miscarriage, and your gyno is going to need to know what type of miscarriage you had in order to recommend any treatment or follow up. If you have bleeding in early pregnancy, your pregnancy is very likely to be fine. Only about half (or fewer) of the pregnancies with early bleeding will go on to a pregnancy loss by 20 weeks of pregnancy. If you have had pregnancy confirmed, and you are bleeding, please contact your gyno so you can be checked. When you first come in to be checked early in pregnancy thinking you are having a miscarriage the question will be: how far pregnant are you, how many babies (twins?), what is the source of the bleeding, and if the pregnancy is still healthy. Some of our patients have bleeding and what has occurred in prior pregnancies is important, did you have an early miscarriage, or an evolving miscarriage, a blighted ovum, a molar pregnancy or other types of history of miscarriage. Prior to trying to get pre...

Once you have been diagnosed with a miscarriage you need to make a decision you’re your gyno regarding the medical therapy.    It’s important to determine if you are anemic, if you are Rh negative need a Rhogam shot, if you have any special considerations that would affect your next pregnancy, but then ultimately; you and your gyno will then have to determine how to manage the treatment of the evolving situation that is a miscarriage .  Miscarriage management has changed over time. Ten or fifteen years ago all women had a surgical dilatation and curettage ( D and C) as well as being told to wait three months to get pregnant. Both of those older recommendations have evolved.   Many women will select surgery as they do not want to wait for the process to complete. Most recent studies show that conceiving earlier than 3-6 months after a miscarriage does not affect future pregnancies in the since of causing any fetal anomalies, malformations, preterm labor or prem...

The treatment called the Smith and Smith regimen treatment was universally used by gynecologists in it's day. Never heard of it? It sparked a generation of disaster. In 1949 the New England Journal of Medicine, a gynecologic paper advocated a radical new treatment that could prevent many pregnancy complications: miscarriages, preterm births to name the two most important. The paper described a regimen that came to be known as the "Smith and Smith" regimen which advocated the use of the estrogen, DES (diethylstibesterol). The regimen had become widespread as an off label treatment, and late in 1947 the FDA had actually granted Squibb an approval for the process. Twenty-three yeas later, in 1973, Dr. Arthur Herbst at the University of Chicago, described a vaginal cancer in a young women who had been exposed to this drug while being a fetus ( in utero) . And there is a DES registr y that has been going since the early 70s to track these rare vaginal cancers. They were ...