1, now after the pregnancy embryo miscarriage and suspension is quite common, many people will ask: why I will have embryonic abortion?
A: About 50% of the embryos miscarried during early pregnancy because of chromosomal problems, and 20-30% because of low progesterone secretion from the corpus luteum after pregnancy, which is not enough to support the development of the embryo.
2.After repeated miscarriages, what tests should the couple do in advance during the next pregnancy preparation?
A: Couples who have had two or more miscarriages should undergo the following tests before the third pregnancy.
(1) Chromosome of both partners;
(2) TORCH test for the female partner and serum progesterone test in fasting one week before menstruation;
(3) anti-cardiolipin antibodies for the female partner;
3.What is the condition of small amount of vaginal bleeding during pregnancy? What tests should be done?
A: Vaginal bleeding should not occur if the embryo is developing well during pregnancy.
(1) Ultrasound of the uterus and adnexa to find out whether there is any abnormality in the congenital development of the uterus and whether there is any accumulation of blood in the uterine cavity;
(2) Blood test for low progesterone;
(3) If none of the above, the patient should be fully rested to find out whether there are polyps or cervical bleeding, and if necessary, perform TCT examination of the cervix, but it is important to know that this examination has the risk of miscarriage, but not to do so has the risk that cervical lesions (such as cervical cancer) cannot be detected in time after pregnancy;
4.What should I do first if I have vaginal bleeding during pregnancy due to exertion or weight bearing?
If the bleeding is caused by exertion, it can be relieved by sufficient rest (avoid intercourse in the first and second trimesters of pregnancy), and it is not necessary to use birth control pills. If the symptoms of vaginal bleeding cannot be relieved after sufficient rest (at least one week in bed), it is recommended to go to the hospital for further examination.
5.What should we do to avoid recurrent embryonic abortion or miscarriage?
A: In order to avoid recurrent embryonic abortion or miscarriage, it is recommended to check the serum progesterone and HCG as soon as the test is positive, and if the serum progesterone is low, further examination of the uterine adnexal ultrasound is needed to confirm that the embryo is in the uterus and then carry out fertility preservation treatment.
6.Which patients should be especially alert to embryonic abortion during early pregnancy due to insufficient progesterone secretion?
Answer.
(1) Patients whose menstrual period is always early;
(2) Patients whose menstrual period is not early but always lasts for a long time and does not clear even after 7 days;
(3) Patients who always have some bleeding before and after menstruation;
(4) Pre-pregnancy ultrasound indicates polycystic condition or confirmed polycystic ovary syndrome;
(5) Pregnancy with small follicle ovulation during preconception follicle monitoring;
(6) History of embryonic abortion or unexplained miscarriage;
(7) abnormal bleeding or coffee-colored discharge during early pregnancy.
7.What is the progesterone value below which treatment is needed to preserve the pregnancy?
A: Generally speaking, if the progesterone value is lower than 25ng/ml, the fetus needs to be treated with birth control.
8.When can we be sure that the fetus is preserved?
A: Generally speaking, the fetal germ and heartbeat can be confirmed by ultrasound examination around 50 days of pregnancy. However, you can’t stop using fetal preservation drugs or reduce the dosage at will.
9.How long do I need to take birth control pills?
A: Before the formation of placenta in the third trimester, the embryo is supported by the progesterone secreted by the corpus luteum. If the progesterone secreted by itself is not enough to support the development of the embryo, the fetus will show symptoms of miscarriage or the ultrasound indicates embryonic abortion.
10.Will birth control pills affect the development of the fetus?
A: It will not affect the fetal development before 12 weeks of pregnancy, but after 13 weeks, it may lead to abnormal fetal development or congenital malformation. Therefore, please stop taking birth control pills before 13 weeks of pregnancy, instead of waiting for the fetus to develop and then regret.
11.Is there any danger and risk of birth control drugs?
A: Of course there is, because the theory of species evolution believes that species are always outcompeted by the survival environment, among the embryos that are naturally aborted, there are many cases of miscarriage caused by congenital factors, such as congenital malformations, chromosomal abnormalities, Down’s syndrome and other children may have low progesterone during early pregnancy, and the children saved by birth control pills are likely to have congenital developmental defects that were eliminated during pregnancy. The child is likely to have a congenital developmental defect that was eliminated during pregnancy. Therefore, relaxed mind, some things go with the natural may not necessarily be bad.