Yu Ping talked about pregnancy: answering patients' questions, repeated fetal arrest, recurrent miscarriage, can you do test tubes directly?

Recently a patient gave me a private message, she was pregnant 3 times, the first two times were fetal cessation, the 3rd pregnancy spontaneous abortion, like her case directly choose IVF can be? I think this question is more representative, and I will answer it today.

Repeated fetal aborts, recurrent miscarriages without finding the cause, and trying to do IVF to avoid embryonic cessation is not a good idea. Because you can't find the cause of fetal arrest and recurrent miscarriage does not mean that there is no cause, it depends on whether the doctor you have experienced and whether the examination items are comprehensive.

For example: Have the couple's chromosomes been checked? How active are the male tadpoles? Is the woman's endocrine normal? Are there any immune problems? What about the endometrium? Is the quality of the follicles good? Wait, have these questions been checked? This factor cannot be ruled out without examination, so I would like to tell this patient that it is still necessary to find the cause of repeated fetal abortion first, and then go to symptomatic treatment.

I once had a patient like this, but also the fetus stopped twice, and then the two mouths went directly to the test tube, but the test tube was not successful, when the clinic found that the woman had anticardiolipin syndrome through various aspects of the examination, that is, a disease with repeated thrombosis and miscarriage as the main clinical features, the main manifestation is vascular embolism, and pregnancy miscarriage. The man's examination rate of small tadpole deformities is relatively high. Therefore, in their case, no cause was found, and even if the success rate of IVF was very low. At that time, the man had to treat the small tadpole, the woman wanted anticoagulant therapy, and continued to anticoagulation after pregnancy.

Finally, I would like to say that IVF itself is not a way to avoid embryo cessation, but to find the cause first, and then choose the treatment method.