Seeking Answers: Overcoming Recurrent Miscarriages for a Healthy Pregnancy

I want to have fraternal twins?

I live in Hsinchu and would like to ask: which hospital in Hsinchu can conduct tests for the causes of recurrent miscarriage? I have been pregnant four times, but there has been no fetal heartbeat each time.
Could it be due to my husband's sperm? However, I have conceived naturally four times.
Last year, I went to Taichung Veterans General Hospital for an examination, specifically for autoimmune issues related to the uterus, and the doctor said everything was normal.
However, he suggested that if I was concerned about another miscarriage, I could undergo immunotherapy, which involves paying out of pocket to have my husband's blood drawn, isolating the immune proteins, and then injecting them subcutaneously into me.
Still, I did not get pregnant! It has been almost a year and a half since my last miscarriage, and I have not had any news of pregnancy.
I have also been continuously receiving traditional Chinese medicine treatment at Hsinchu City Hospital to improve my health.
Given my situation, can I directly proceed with in vitro fertilization (IVF)? I worry that without identifying the cause of the miscarriages, even with IVF, there could still be issues like embryo degeneration and lack of heartbeat.
However, when I asked doctors at Cathay or Mackay about the reasons for my previous miscarriages, they all said I was just unlucky, "survival of the fittest, natural selection." Doctor, what should I do? I really want to have my own baby!

giogio, 30~39 year old female. Ask Date: 2008/08/24

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello! 1.
If you can conceive naturally, you are not considered infertile.
2.
Recurrent miscarriage: a.
Chromosomal factors in both partners b.
Whether the woman has any underlying immune disorders.
3.
Children are a blessing from God to parents; the timing and number of children are not for humans to decide.
We welcome couples to come and learn together! We are happy to share the truth with you, pray together, and wait together.
If you have undergone all the necessary evaluations at a top medical center like Taichung Veterans General Hospital and no cause has been found, as your physician mentioned, it should be a matter of probability.
Wishing you peace and health.

Reply Date: 2008/08/24

More Info

I'm sorry to hear about your struggles with recurrent miscarriages. It can be an incredibly challenging and emotional journey for anyone trying to conceive. Based on your situation, it seems you have already undergone some testing and treatments, but you are still seeking answers and solutions.
First, regarding your question about hospitals in Hsinchu that can conduct tests for habitual miscarriage, I recommend looking into local fertility clinics or reproductive endocrinology specialists. Hospitals like Hsinchu Municipal Hospital or private clinics specializing in reproductive health may offer the necessary evaluations to identify potential causes of recurrent miscarriages. It's essential to consult with a specialist who can guide you through the appropriate tests, which may include genetic testing, hormonal evaluations, and assessments of uterine health.

You mentioned that you have experienced four pregnancies without a heartbeat, which can be attributed to various factors, including chromosomal abnormalities, uterine anomalies, hormonal imbalances, or even immunological issues. While it's understandable to wonder if your husband's sperm quality could be a factor, it's important to note that many couples experience miscarriages due to issues unrelated to sperm health, especially if you have conceived naturally multiple times.

The tests you underwent at Taichung Veterans General Hospital, particularly concerning autoimmune factors, are crucial. If those results came back normal, it may be worthwhile to explore additional testing options, such as thrombophilia screening or further genetic testing for both partners. Sometimes, even if initial tests are normal, there may be underlying issues that require more in-depth investigation.

Regarding the immunotherapy treatment you mentioned, while some studies suggest that immunotherapy may help certain women with recurrent miscarriages, the evidence is still inconclusive. It's essential to discuss the potential benefits and risks with your healthcare provider, as well as any alternative treatments that may be available.

As for your question about moving directly to in vitro fertilization (IVF), this is a viable option, especially if you are concerned about the potential for another miscarriage. IVF can allow for preimplantation genetic testing (PGT), which can help identify embryos with chromosomal abnormalities before they are implanted. This could potentially reduce the risk of miscarriage due to genetic issues. However, it's crucial to have a thorough discussion with your fertility specialist about your specific situation, including the potential risks and benefits of IVF in your case.

Lastly, it's important to take care of your emotional well-being during this time. Seeking support from counseling or support groups can be beneficial as you navigate this challenging journey. Remember, you are not alone, and many women have faced similar struggles and have gone on to have healthy pregnancies.

In summary, I recommend seeking a fertility specialist in Hsinchu who can provide comprehensive evaluations and discuss the possibility of IVF with preimplantation genetic testing. Continue to advocate for yourself and seek the support you need, both medically and emotionally. I wish you the best of luck on your journey to motherhood.

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