Miscarriage After IVF: When To Try Again?

Nov 20, 2023, Health A2Z

Overview

According to several studies, about 26% of all pregnancies end in miscarriage. Every year, worldwide more than 23 million women face the trauma of miscarriage. Miscarriage, or spontaneous abortion, is a condition when the embryo or fetus dies before it can survive independently. This early pregnancy loss is widespread and sometimes happens before a person even knows they’re pregnant. According to various observations, those women who miscarry may have a healthy pregnancy later.

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Sometimes, all types of pregnancy loss and pregnancies that end in abortion before 20 weeks of gestation are referred to as miscarriages. Miscarriage after IVF is as standard as miscarriage in a natural pregnancy. Various gynecologists believe that chromosomal variations in the embryo are the primary factor that increases the risk of miscarriage after IVF.

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What Are The Reasons Of Miscarriage After IVF?

The loss of a pregnancy is an excruciating process, even when you are under IVF treatment. Many women experience trauma, frustration, anxiety, and depression after facing multiple failures. IVF is the one-step solution in cases of recurrent pregnancy failure, which sometimes claims the condition of miscarriage or spontaneous abortion. The condition of miscarriage after IVF is prevalent, and various reasons promote the risk of miscarriage after IVF, including:

Chromosomal Variation: Sometimes, an extra chromosome or error in the structures of chromosomes in the fetus leads to the chances of miscarriage after IVF.

Lifestyle Factors: Risk factors include poor nutrition, smoking, excessive alcohol consumption, and substance abuse.

Hormonal Imbalances: In such cases, primarily, the imbalance of progesterone (an endogenous steroid hormone) promotes spontaneous abortion.

Immunological disorders: Some disorders, like autoimmune and alloimmune factors, promote the formation of antibodies, which increases the chances of miscarriage.

Infections: Sexually transmitted infections, rubella, and toxoplasmosis are some vital causes of miscarriage.

Uterine or Cervical Problems: Inflammation of the cervix and abnormalities in the uterus often contribute to miscarriage.

Endocrine Disorders: Diabetes, lupus, and thyroid disorders can increase the risk.

Hormonal Imbalances: In such cases, primarily, the imbalance of progesterone (an endogenous steroid hormone) promotes spontaneous abortion.

What Are The Precautions To Prevent Miscarriage After IVF?

Most pregnancy failure occurs in the early phase of pregnancy, so it is essential to keep some precautions to prevent the chances of miscarriage during the early stage of pregnancy. But it is also notable that we can’t prevent all miscarriages. However, you can Try and fail but never fail to try.

Following are the measures that can help you to prevent the chances of miscarriage after IVF:

Lifestyle Changes: Try to avoid active smoking and drinking, maintain a balanced diet, and exercise moderately.
Adequate Nutrition: Ensure you get essential nutrients like folic acid, which can support a healthy pregnancy.
Relaxation Techniques: Practice relaxation techniques, seek support, and find healthy coping mechanisms to reduce stress.
Avoid direct exposure to environmental toxins, chemicals, and certain medications.
Visit your doctor for routine checkups during the early pregnancy phase.

When To Try Again?

Miscarriage After IVF treatment, there is a high chance of a mental breakdown, so it is essential to be physically prepared for the treatment again. Your doctor may recommend tests or treatments before embarking on another IVF cycle.

It is recommended that women who miscarry wait for at least one menstrual cycle. Typically, miscarriage restarts the menstrual cycle again to avoid further complications in the second attempt. Try to calculate your period after miscarriage, or your doctor may provide guidance based on your circumstances.

What Are The Medical Evaluations?

When you begin to plan for the second round of IVF treatment, your doctor may recommend some of the medical evaluation tests to avoid further complications, such as:

Ovarian reserve testing involves a blood test that determines the egg count; this procedure is often known as egg supply. In this process, an ultrasound of the ovaries helps to justify how they will react to fertility medicines.

Infectious disease screening: You and your partner will be screened for diseases like HIV.

Hormonal Evaluation: To detect the hormonal imbalance and help determine the levels of different hormones such as FSH, AMH, and estradiol.

Uterine exam: This procedure helps get an image of your uterus’s inner lining. Typically, this imagining test is known as sonohysterography. Uterus and cervix defects are the major causes of spontaneous abortion.

FAQs Related To Miscarriage After IVF: When To Try Again?

Q: How many months after failed IVF can I try again?

A: The recommended spacing after pregnancy failure is about four to six weeks. You have to wait until you have gone through at least one complete menstrual cycle.

Q: How do you calculate your period after a miscarriage?

A: Typically, ovulation tends to occur around day 14 of the menstrual cycle because miscarriage restarts the women’s menstrual cycle, and bleeding is the initial symptom. However, those women who miscarry may have a period four to six weeks later.

Q: Are you more fertile after IVF miscarriage?

A: According to some studies, which suggest that women who miscarry during their first full round of IVF become more fertile than women who haven’t gotten pregnant and who have a high chance of childbearing.

Q: How can I reduce my chances of having a second miscarriage?

A: Limiting your caffeine intake, STD screening, quitting smoking, and taking folic acid can significantly reduce your chances of having a second miscarriage.

Q: Why miscarriage is common in IVF?

A: Chromosomal variations in the embryo are one of the vital causes of miscarriage after IVF. Around 70% of embryos, whether created naturally or through IVF, are lost before birth.

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