{"id":15441,"date":"2019-08-27T09:38:49","date_gmt":"2019-08-27T08:38:49","guid":{"rendered":"https:\/\/kinderwunschaerztin.de\/leistungen\/miscarriage-diagnostics\/"},"modified":"2026-10-06T15:17:30","modified_gmt":"2026-10-06T14:17:30","slug":"miscarriage-diagnostics","status":"publish","type":"leistungen","link":"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/miscarriage-diagnostics\/","title":{"rendered":"Mis\u00adcar\u00adria\u00adge Dia\u00adgno\u00adstics"},"content":{"rendered":"\n
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Why a mis\u00adcar\u00adria\u00adge can occur<\/h2>\n\n\n\n

Mis\u00adcar\u00adri\u00ada\u00adges are com\u00admon and, espe\u00adci\u00adal\u00adly in ear\u00adly pregnan\u00adcy, are usual\u00adly cau\u00adsed by ran\u00addom chro\u00admo\u00adso\u00admal chan\u00adges in the embryo. A sin\u00adgle mis\u00adcar\u00adria\u00adge the\u00adr\u00ade\u00adfo\u00adre often remains a one-time event and does not auto\u00adma\u00adti\u00adcal\u00adly mean that an ill\u00adness or dis\u00ador\u00adder is pre\u00adsent. In many cases, no fur\u00adther dia\u00adgno\u00adstic work-up is requi\u00adred after a sin\u00adgle mis\u00adcar\u00adria\u00adge. Many women sub\u00adse\u00adquent\u00adly beco\u00adme pregnant again and expe\u00adri\u00adence a nor\u00admal\u00adly pro\u00adgres\u00adsing pregnan\u00adcy with the birth of a healt\u00adhy child. <\/p>\n\n\n\n

If mis\u00adcar\u00adri\u00ada\u00adges occur repea\u00adted\u00adly, a tar\u00adge\u00adted eva\u00adlua\u00adti\u00adon may be useful. Pos\u00adsi\u00adble influen\u00adcing fac\u00adtors ran\u00adge from gene\u00adtic and ana\u00adto\u00admic\u00adal cau\u00adses to hor\u00admo\u00adn\u00adal con\u00addi\u00adti\u00adons and cer\u00adtain clot\u00adting or auto\u00adim\u00admu\u00adne dis\u00ador\u00adders. It is not always pos\u00adsi\u00adble to iden\u00adti\u00adfy a clear cau\u00adse. The aim of dia\u00adgno\u00adstics is to iden\u00adti\u00adfy pos\u00adsi\u00adble risk fac\u00adtors and plan the next steps indi\u00advi\u00addu\u00adal\u00adly. <\/p>\n\n\n\n

The immu\u00adne sys\u00adtem plays an important role in implan\u00adta\u00adti\u00adon, ear\u00adly pla\u00adcen\u00adtal deve\u00adlo\u00adp\u00adment, and main\u00adtai\u00adning a pregnan\u00adcy. Cer\u00adtain auto\u00adim\u00admu\u00adne dise\u00ada\u00adses and immu\u00adno\u00adlo\u00adgi\u00adcal chan\u00adges can be asso\u00adcia\u00adted with an increased risk of mis\u00adcar\u00adria\u00adge. The\u00adse include, for exam\u00adp\u00adle, anti\u00adphos\u00adpho\u00adli\u00adpid syn\u00addro\u00adme, cer\u00adtain auto\u00adim\u00admu\u00adne thy\u00adro\u00adid dise\u00ada\u00adses, or pre\u00advious\u00adly undia\u00adgno\u00adsed coeli\u00adac dise\u00ada\u00adse. In addi\u00adti\u00adon, other chan\u00adges in the mate\u00adr\u00adnal immu\u00adne respon\u00adse are being inves\u00adti\u00adga\u00adted as pos\u00adsi\u00adble influen\u00adcing fac\u00adtors in recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges. <\/p>\n\n\n\n

Espe\u00adci\u00adal\u00adly in cases of recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges with no iden\u00adti\u00adfia\u00adble cau\u00adse to date, fur\u00adther immu\u00adno\u00adlo\u00adgi\u00adcal dia\u00adgno\u00adstics may the\u00adr\u00ade\u00adfo\u00adre be useful in sel\u00adec\u00adted situa\u00adtions. We assess which tests are actual\u00adly hel\u00adpful on an indi\u00advi\u00addu\u00adal basis, taking into account your medi\u00adcal histo\u00adry and pre\u00advious fin\u00addings. We also con\u00adsider that the sci\u00aden\u00adti\u00adfic evi\u00addence for indi\u00advi\u00addu\u00adal immu\u00adno\u00adlo\u00adgi\u00adcal tests varies. <\/p>\n\n\n\n

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Who may bene\u00adfit from fur\u00adther mis\u00adcar\u00adria\u00adge dia\u00adgno\u00adstics<\/h3>\n\n\n\n
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\n\"Logo\n\n\n\nWomen with recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Recur\u00adrent mis\u00adcar\u00adria\u00adge is defi\u00adned as the loss of two or more pregnan\u00adci\u00ades. Even after two mis\u00adcar\u00adri\u00ada\u00adges, fur\u00adther dia\u00adgno\u00adstics are often advisable\u2014depending on age, medi\u00adcal histo\u00adry, and indi\u00advi\u00addu\u00adal risk fac\u00adtors. As the num\u00adber of pre\u00advious mis\u00adcar\u00adri\u00ada\u00adges increa\u00adses, the risk of ano\u00adther pregnan\u00adcy loss also rises. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nWomen or cou\u00adples with cer\u00adtain pre-exis\u00adting con\u00addi\u00adti\u00adons<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Cer\u00adtain pre-exis\u00adting con\u00addi\u00adti\u00adons can increase the risk of mis\u00adcar\u00adria\u00adge or play an important role in an indi\u00advi\u00addu\u00adal eva\u00adlua\u00adti\u00adon. The\u00adse include, for exam\u00adp\u00adle, thy\u00adro\u00adid dys\u00adfunc\u00adtion, poor\u00adly con\u00adtrol\u00adled dia\u00adbe\u00adtes mel\u00adli\u00adtus, cer\u00adtain auto\u00adim\u00admu\u00adne dise\u00ada\u00adses such as anti\u00adphos\u00adpho\u00adli\u00adpid syn\u00addro\u00adme or coeli\u00adac dise\u00ada\u00adse, as well as other con\u00addi\u00adti\u00adons that can affect the cour\u00adse of pregnan\u00adcy. We also take gynae\u00adco\u00adlo\u00adgi\u00adcal con\u00addi\u00adti\u00adons such as endo\u00adme\u00adtrio\u00adsis or chan\u00adges in the ute\u00adrus into account in the indi\u00advi\u00addu\u00adal assess\u00adment. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\n\"Logo\n\n\n\nWomen of advan\u00adced age who wish to con\u00adcei\u00adve<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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As age increa\u00adses, the risk of mis\u00adcar\u00adria\u00adge rises signi\u00adfi\u00adcant\u00adly. Data from the Ger\u00adman IVF Regis\u00adtry show this asso\u00adcia\u00adti\u00adon: In youn\u00adger women, the mis\u00adcar\u00adria\u00adge rate is around 15%, but by age 40 it is alre\u00ada\u00addy about one third. After that, it increa\u00adses mark\u00aded\u00adly with each addi\u00adtio\u00adnal year of age and is around two thirds or hig\u00adher from age 45.
The main reason is the incre\u00adasing likeli\u00adhood of chro\u00admo\u00adso\u00admal chan\u00adges in the eggs\u2014and the\u00adr\u00ade\u00adfo\u00adre in the resul\u00adting embryos\u2014as age increa\u00adses. At the same time, both egg num\u00adber and egg qua\u00adli\u00adty decli\u00adne. In cases of recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges and an ongo\u00ading wish to con\u00adcei\u00adve, time\u00adly eva\u00adlua\u00adti\u00adon is the\u00adr\u00ade\u00adfo\u00adre par\u00adti\u00adcu\u00adlar\u00adly advi\u00adsa\u00adble as age increa\u00adses, in order to iden\u00adti\u00adfy pos\u00adsi\u00adble cau\u00adses and plan the next steps indi\u00advi\u00addu\u00adal\u00adly. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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Expert assess\u00adment for recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges<\/h2>\n\n\n\n

Recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges can have dif\u00adfe\u00adrent cau\u00adses. The\u00adse include hor\u00admo\u00adn\u00adal fac\u00adtors such as thy\u00adro\u00adid or meta\u00adbo\u00adlic dis\u00ador\u00adders, gene\u00adtic chan\u00adges, ana\u00adto\u00admic\u00adal abnor\u00adma\u00adli\u00adties of the ute\u00adrus, cer\u00adtain clot\u00adting and auto\u00adim\u00admu\u00adne dis\u00ador\u00adders, or other immu\u00adno\u00adlo\u00adgi\u00adcal fac\u00adtors. Age and the asso\u00adcia\u00adted egg and embryo qua\u00adli\u00adty also play an important role. Howe\u00adver, it is not always pos\u00adsi\u00adble to iden\u00adti\u00adfy a clear cause\u2014often seve\u00adral fac\u00adtors come tog\u00ade\u00adther. <\/p>\n\n\n\n

This makes careful medi\u00adcal assess\u00adment of pre\u00advious pregnan\u00adci\u00ades and all available fin\u00addings all the more important. Tar\u00adge\u00adted dia\u00adgno\u00adstics can help iden\u00adti\u00adfy pos\u00adsi\u00adble risk fac\u00adtors and deri\u00adve indi\u00advi\u00addu\u00adal\u00adly appro\u00adpria\u00adte next steps. And even after seve\u00adral mis\u00adcar\u00adri\u00ada\u00adges, in many cases the\u00adre is still a good chan\u00adce of a suc\u00adcessful pregnan\u00adcy and the birth of a healt\u00adhy child. <\/p>\n\n\n\n

Over\u00adview of dia\u00adgno\u00adstic pro\u00adce\u00addu\u00adres<\/h3>\n\n\n\n

Dia\u00adgno\u00adstics are used to spe\u00adci\u00adfi\u00adcal\u00adly cla\u00adri\u00adfy pos\u00adsi\u00adble cau\u00adses and risk fac\u00adtors for recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges. Which tests are appro\u00adpria\u00adte depends on your per\u00adso\u00adnal medi\u00adcal histo\u00adry and pre\u00advious fin\u00addings. <\/p>\n\n\n\n

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\nANATOMICAL DIAGNOSTICS<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Ana\u00adto\u00admic\u00adal chan\u00adges of the ute\u00adrus are found in about 5% of all women, but are signi\u00adfi\u00adcant\u00adly more com\u00admon in women with recur\u00adrent miscarriages\u2014around 10\u201315%. The\u00adse include, for exam\u00adp\u00adle, a ute\u00adri\u00adne sep\u00adtum or other con\u00adge\u00adni\u00adtal forms. Using high-reso\u00adlu\u00adti\u00adon ultra\u00adsound and 3D ultra\u00adsound, we can assess the shape of the ute\u00adrus and, in par\u00adti\u00adcu\u00adlar, the ute\u00adri\u00adne cavi\u00adty. <\/p>\n\n\n\n

Fin\u00addings such as a con\u00adge\u00adni\u00adtal ute\u00adri\u00adne sep\u00adtum, fibro\u00adids, polyps, or adhe\u00adsi\u00adons can affect implan\u00adta\u00adti\u00adon or the cour\u00adse of a pregnan\u00adcy. If indi\u00adca\u00adted, hys\u00adtero\u00adsco\u00adpy may also be useful. This allows chan\u00adges in the ute\u00adri\u00adne cavi\u00adty to be asses\u00adsed par\u00adti\u00adcu\u00adlar\u00adly pre\u00adcis\u00ade\u00adly and\u2014where pos\u00adsi\u00adble and appropriate\u2014treated direct\u00adly. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\nCoagu\u00adla\u00adti\u00adon dia\u00adgno\u00adstics<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Cer\u00adtain blood clot\u00adting dis\u00ador\u00adders can be asso\u00adcia\u00adted with recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges and pregnan\u00adcy com\u00adpli\u00adca\u00adti\u00adons. Anti\u00adphos\u00adpho\u00adli\u00adpid syn\u00addro\u00adme (APS) is of par\u00adti\u00adcu\u00adlar importance\u2014an auto\u00adim\u00admu\u00adne dise\u00ada\u00adse in which cer\u00adtain anti\u00adbo\u00addies can affect blood clot\u00adting and pla\u00adcen\u00adtal deve\u00adlo\u00adp\u00adment. For eva\u00adlua\u00adti\u00adon, so-cal\u00adled anti\u00adphos\u00adpho\u00adli\u00adpid anti\u00adbo\u00addies are spe\u00adci\u00adfi\u00adcal\u00adly tes\u00adted in the blood. <\/p>\n\n\n\n

Depen\u00adding on your per\u00adso\u00adnal and fami\u00adly histo\u00adry, other acqui\u00adred or inhe\u00adri\u00adted chan\u00adges in blood clot\u00adting may also be included in the dia\u00adgno\u00adstic work-up. We deci\u00adde which coagu\u00adla\u00adti\u00adon para\u00adme\u00adters are appro\u00adpria\u00adte in your indi\u00advi\u00addu\u00adal situa\u00adti\u00adon based on your pre\u00advious pregnan\u00adci\u00ades, pos\u00adsi\u00adble risk fac\u00adtors, and any exis\u00adting fin\u00addings. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\nGene\u00adtic dia\u00adgno\u00adstics<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Gene\u00adtic chan\u00adges are among the most com\u00admon cau\u00adses of ear\u00adly mis\u00adcar\u00adri\u00ada\u00adges. Often, the\u00adse are ran\u00addom chan\u00adges in the num\u00adber or struc\u00adtu\u00adre of the embryo\u2019s chro\u00admo\u00adso\u00admes, the risk of which increa\u00adses with the woman\u2019s age. <\/p>\n\n\n\n

In some cases, howe\u00adver, gene\u00adtic chan\u00adges in the par\u00adents can also play a role\u2014even if both are com\u00adple\u00adte\u00adly healt\u00adhy. In about 2\u20135% of cou\u00adples with recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, a so-cal\u00adled balan\u00adced chro\u00admo\u00adso\u00admal rear\u00adran\u00adge\u00adment is found, often a trans\u00adlo\u00adca\u00adti\u00adon. In this case, the enti\u00adre gene\u00adtic mate\u00adri\u00adal is pre\u00adsent, but indi\u00advi\u00addu\u00adal chro\u00admo\u00adso\u00adme seg\u00adments are arran\u00adged dif\u00adfer\u00adent\u00adly. For the car\u00adri\u00ader, this usual\u00adly has no health con\u00adse\u00adquen\u00adces; howe\u00adver, during the for\u00adma\u00adti\u00adon of egg or sperm cells, an unfa\u00advoura\u00adble dis\u00adtri\u00adbu\u00adti\u00adon of chro\u00admo\u00adso\u00admes can occur, incre\u00adasing the risk of mis\u00adcar\u00adria\u00adge. <\/p>\n\n\n\n

Fur\u00adther eva\u00adlua\u00adti\u00adon may the\u00adr\u00ade\u00adfo\u00adre include a chro\u00admo\u00adso\u00adme ana\u00adly\u00adsis of both par\u00adents. In addi\u00adti\u00adon, gene\u00adtic test\u00ading of pregnan\u00adcy tis\u00adsue can pro\u00advi\u00adde important clues about pos\u00adsi\u00adble cau\u00adses. We work with spe\u00adcia\u00adli\u00adsed human gene\u00adtics insti\u00adtu\u00adtes for this pur\u00adpo\u00adse. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

Male fac\u00adtor and sperm qua\u00adli\u00adty<\/h3>\n\n\n\n

The male fac\u00adtor can also play an important role in recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges and should always be included in the joint eva\u00adlua\u00adti\u00adon. In addi\u00adti\u00adon to stan\u00addard sperm para\u00adme\u00adters, sperm DNA inte\u00adgri\u00adty in par\u00adti\u00adcu\u00adlar, as well as the man\u2019s age, pre-exis\u00adting con\u00addi\u00adti\u00adons, and life\u00adstyle, can influence repro\u00adduc\u00adti\u00adve health. <\/p>\n\n\n\n

A semen ana\u00adly\u00adsis<\/a> initi\u00adal\u00adly pro\u00advi\u00addes infor\u00adma\u00adti\u00adon about sperm count, moti\u00adli\u00adty, and mor\u00adpho\u00adlo\u00adgy. In addi\u00adti\u00adon, espe\u00adci\u00adal\u00adly in cases of recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, a DNA frag\u00admen\u00adta\u00adti\u00adon test may be useful. This exami\u00adnes the pro\u00adpor\u00adti\u00adon of sperm with increased DNA strand breaks. Ele\u00adva\u00adted DNA frag\u00admen\u00adta\u00adti\u00adon can be asso\u00adcia\u00adted, among other things, with oxi\u00adda\u00adtive stress, smo\u00adking, over\u00adweight, inflamm\u00ada\u00adti\u00adon, a vari\u00adco\u00adce\u00adle, or incre\u00adasing pater\u00adnal age, and may be lin\u00adked to an increased risk of mis\u00adcar\u00adria\u00adge. <\/p>\n\n\n\n

For this reason, in mis\u00adcar\u00adria\u00adge dia\u00adgno\u00adstics we do not only assess the woman, but also include sperm qua\u00adli\u00adty and poten\u00adti\u00adal\u00adly modi\u00adfia\u00adble risk fac\u00adtors in the man.<\/p>\n\n\n\n

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\nImmu\u00adno\u00adlo\u00adgi\u00adcal dia\u00adgno\u00adstics<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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The immu\u00adne sys\u00adtem plays an important role in implan\u00adta\u00adti\u00adon, pla\u00adcen\u00adtal deve\u00adlo\u00adp\u00adment, and main\u00adtai\u00adning a pregnan\u00adcy. Cer\u00adtain auto\u00adim\u00admu\u00adne dise\u00ada\u00adses and chan\u00adges in the mate\u00adr\u00adnal immu\u00adne respon\u00adse may be asso\u00adcia\u00adted with recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges. <\/p>\n\n\n\n

Estab\u00adlished immu\u00adno\u00adlo\u00adgi\u00adcal cau\u00adses include, in par\u00adti\u00adcu\u00adlar, anti\u00adphos\u00adpho\u00adli\u00adpid syn\u00addro\u00adme (APS). Depen\u00adding on your histo\u00adry, fur\u00adther indi\u00adca\u00adtors of auto\u00adim\u00admu\u00adne dise\u00ada\u00adse may also be inves\u00adti\u00adga\u00adted, such as thy\u00adro\u00adid auto\u00adan\u00adti\u00adbo\u00addies, anti\u00adnu\u00adclear anti\u00adbo\u00addies (ANA), or pre\u00advious\u00adly undia\u00adgno\u00adsed coeli\u00adac dise\u00ada\u00adse. <\/p>\n\n\n\n

In sel\u00adec\u00adted situa\u00adtions, exten\u00added repro\u00adduc\u00adti\u00adve immu\u00adno\u00adlo\u00adgy dia\u00adgno\u00adstics may also be con\u00adside\u00adred. This can include, for exam\u00adp\u00adle, test\u00ading various immu\u00adne cell popu\u00adla\u00adti\u00adons and natu\u00adral kil\u00adler cells (NK cells) and\u2014depending on the cli\u00adni\u00adcal question\u2014other immu\u00adno\u00adlo\u00adgi\u00adcal con\u00adstel\u00adla\u00adti\u00adons such as KIR and HLA cha\u00adrac\u00adte\u00adristics. <\/p>\n\n\n\n

Not all immu\u00adno\u00adlo\u00adgi\u00adcal tests are equal\u00adly well estab\u00adlished sci\u00aden\u00adti\u00adfi\u00adcal\u00adly, and not every abnor\u00admal labo\u00adra\u00adto\u00adry value is auto\u00adma\u00adti\u00adcal\u00adly the cau\u00adse of a mis\u00adcar\u00adria\u00adge. The\u00adr\u00ade\u00adfo\u00adre, we sel\u00adect tests indi\u00advi\u00addu\u00adal\u00adly based on your medi\u00adcal histo\u00adry and pre\u00advious fin\u00addings and always inter\u00adpret the results in the over\u00adall con\u00adtext. For spe\u00adcia\u00adli\u00adsed ana\u00adly\u00adses, we work with expe\u00adri\u00aden\u00adced immu\u00adno\u00adlo\u00adgy labo\u00adra\u00adto\u00adries. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

\n
\nHor\u00admo\u00adn\u00adal Dia\u00adgno\u00adstics<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
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Hor\u00admo\u00adnes play an important role in egg matu\u00adra\u00adti\u00adon, the build-up of the ute\u00adri\u00adne lining, and the ear\u00adly deve\u00adlo\u00adp\u00adment of a pregnan\u00adcy. In cases of recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, we the\u00adr\u00ade\u00adfo\u00adre spe\u00adci\u00adfi\u00adcal\u00adly include pos\u00adsi\u00adble hor\u00admo\u00adn\u00adal and meta\u00adbo\u00adlic influen\u00adcing fac\u00adtors in the dia\u00adgno\u00adstic work-up.
The thy\u00adro\u00adid plays a par\u00adti\u00adcu\u00adlar\u00adly important role. Both underac\u00adti\u00adve and over\u00adac\u00adti\u00adve thy\u00adro\u00adid func\u00adtion can affect the cycle and the cour\u00adse of pregnan\u00adcy. In addi\u00adti\u00adon to the TSH level, free thy\u00adro\u00adid hor\u00admo\u00adnes and thy\u00adro\u00adid auto\u00adan\u00adti\u00adbo\u00addies may also be mea\u00adsu\u00adred depen\u00adding on your histo\u00adry. <\/p>\n\n\n\n

Cycle and ovu\u00adla\u00adti\u00adon dis\u00ador\u00adders as well as poly\u00adcy\u00adstic ova\u00adry syn\u00addro\u00adme (PCOS) can also be asso\u00adcia\u00adted with an increased risk of mis\u00adcar\u00adria\u00adge. In PCOS, in addi\u00adti\u00adon to hor\u00admo\u00adn\u00adal chan\u00adges, meta\u00adbo\u00adlic fac\u00adtors such as insu\u00adlin resis\u00adtance often play a role. <\/p>\n\n\n\n

Pro\u00adges\u00adte\u00adro\u00adne is of cen\u00adtral importance for the ute\u00adri\u00adne lining and main\u00adtai\u00adning pregnan\u00adcy, espe\u00adci\u00adal\u00adly after ovu\u00adla\u00adti\u00adon and in ear\u00adly pregnan\u00adcy. Depen\u00adding on the cli\u00adni\u00adcal ques\u00adti\u00adon, the second half of the cycle and pro\u00adges\u00adte\u00adro\u00adne pro\u00adduc\u00adtion may the\u00adr\u00ade\u00adfo\u00adre also be asses\u00adsed. As pro\u00adges\u00adte\u00adro\u00adne levels fluc\u00adtua\u00adte signi\u00adfi\u00adcant\u00adly in the natu\u00adral cycle, results are always eva\u00adlua\u00adted in the con\u00adtext of the cycle pat\u00adtern and the other fin\u00addings.

We deter\u00admi\u00adne which hor\u00admo\u00adn\u00adal tests are appro\u00adpria\u00adte on an indi\u00advi\u00addu\u00adal basis, based on your medi\u00adcal histo\u00adry, your cycle, and any exis\u00adting fin\u00addings.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n

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<\/div>\n\n\n\n
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Sup\u00adport after a mis\u00adcar\u00adria\u00adge: The path to an indi\u00advi\u00addu\u00adal eva\u00adlua\u00adti\u00adon<\/h2>\n\n\n\n

With modern dia\u00adgno\u00adstics and many years of expe\u00adri\u00adence, we sup\u00adport you in eva\u00adlua\u00adting recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges.<\/p>\n\n\n\n

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Step by step through mis\u00adcar\u00adria\u00adge dia\u00adgno\u00adstics<\/h4>\n<\/div>\n<\/div>\n\n\n\n
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    \n
  1. \n

    Initi\u00adal Con\u00adsul\u00adta\u00adti\u00adon<\/h4>\n\n\n\n

    At the begin\u00adning, we take time to review your medi\u00adcal histo\u00adry, the cour\u00adse of your pre\u00advious pregnan\u00adci\u00ades, and pos\u00adsi\u00adble risk fac\u00adtors. Tog\u00ade\u00adther, we assess which tests are appro\u00adpria\u00adte in your per\u00adso\u00adnal situa\u00adti\u00adon.  <\/p>\n\n\n\nMake an appoint\u00adment<\/a>\n<\/li>\n\n\n\n

  2. \n

    Blood tests<\/h4>\n\n\n\n

    Depen\u00adding on your histo\u00adry and pre\u00advious fin\u00addings, various labo\u00adra\u00adto\u00adry tests may be useful. The\u00adse include, for exam\u00adp\u00adle, hor\u00admo\u00adne levels, thy\u00adro\u00adid para\u00adme\u00adters<\/a>, cer\u00adtain auto\u00adan\u00adti\u00adbo\u00addies, and sel\u00adec\u00adted coagu\u00adla\u00adti\u00adon and immu\u00adno\u00adlo\u00adgi\u00adcal para\u00adme\u00adters. <\/p>\n<\/li>\n\n\n\n

  3. \n

    Ultra\u00adsound and fur\u00adther exami\u00adna\u00adti\u00adons<\/h4>\n\n\n\n

    Using high-reso\u00adlu\u00adti\u00adon ultra\u00adsound, we can assess the ute\u00adrus and its struc\u00adtu\u00adre. Depen\u00adding on the cli\u00adni\u00adcal ques\u00adti\u00adon, a 3D ultra\u00adsound or, in some cases, hys\u00adtero\u00adsco\u00adpy may also be useful. <\/p>\n<\/li>\n\n\n\n

  4. \n

    Gene\u00adtic tests (if requi\u00adred)<\/h4>\n\n\n\n

    In cases of recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, a chro\u00admo\u00adso\u00adme ana\u00adly\u00adsis of both part\u00adners may be useful. If pregnan\u00adcy tis\u00adsue is available, gene\u00adtic test\u00ading of this tis\u00adsue can also pro\u00advi\u00adde important clues about the cau\u00adse of a mis\u00adcar\u00adria\u00adge. <\/p>\n<\/li>\n\n\n\n

  5. \n

    Brin\u00adging the fin\u00addings tog\u00ade\u00adther<\/h4>\n\n\n\n

    We careful\u00adly eva\u00adlua\u00adte all results and dis\u00adcuss them with you to obtain a com\u00adpre\u00adhen\u00adsi\u00adve pic\u00adtu\u00adre of the pos\u00adsi\u00adble cau\u00adses.<\/p>\n<\/li>\n\n\n\n

  6. \n

    Indi\u00advi\u00addu\u00adal recom\u00admen\u00adda\u00adti\u00adon<\/h4>\n\n\n\n

    Based on the results, we dis\u00adcuss tog\u00ade\u00adther which fur\u00adther steps are appropriate\u2014from tar\u00adge\u00adted tre\u00adat\u00adment of indi\u00advi\u00addu\u00adal risk fac\u00adtors to indi\u00advi\u00addu\u00adal sup\u00adport when try\u00ading to con\u00adcei\u00adve again or during a sub\u00adse\u00adquent pregnan\u00adcy.<\/p>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n

    \n
    \n\"Union\"\n\n\n\n

    Try\u00ading to con\u00adcei\u00adve after recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges: Pos\u00adsi\u00adble tre\u00adat\u00adment approa\u00adches<\/h2>\n\n\n\n

    Which tre\u00adat\u00adment is appro\u00adpria\u00adte after recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges depends on the pos\u00adsi\u00adble cau\u00adses, the pre\u00advious test results, and your per\u00adso\u00adnal fer\u00adti\u00adli\u00adty histo\u00adry. It is not always pos\u00adsi\u00adble to find a clear cau\u00adse, and not every abnor\u00admal fin\u00adding requi\u00adres tre\u00adat\u00adment. The\u00adr\u00ade\u00adfo\u00adre, tog\u00ade\u00adther with you, we deci\u00adde which the\u00adra\u00adpeu\u00adtic mea\u00adsu\u00adres are appro\u00adpria\u00adte in your indi\u00advi\u00addu\u00adal situa\u00adti\u00adon. <\/p>\n\n\n\n

    Depen\u00adding on the cau\u00adse and indi\u00advi\u00addu\u00adal situa\u00adti\u00adon, dif\u00adfe\u00adrent the\u00adra\u00adpeu\u00adtic approa\u00adches may be con\u00adside\u00adred to spe\u00adci\u00adfi\u00adcal\u00adly sup\u00adport a pregnan\u00adcy.<\/p>\n<\/div>\n\n\n\n

    \n
    \n
    \n
    \nHORMONAL S<\/strong>UPPORT<\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    Hor\u00admo\u00adn\u00adal dis\u00ador\u00adders such as underac\u00adti\u00adve or over\u00adac\u00adti\u00adve thy\u00adro\u00adid func\u00adtion, ele\u00adva\u00adted pro\u00adlac\u00adtin levels, or cer\u00adtain meta\u00adbo\u00adlic and cycle dis\u00ador\u00adders can be trea\u00adted in a tar\u00adge\u00adted man\u00adner. Pro\u00adges\u00adte\u00adro\u00adne also plays an important role for the ute\u00adri\u00adne lining and main\u00adtai\u00adning ear\u00adly pregnan\u00adcy. Whe\u00adther addi\u00adtio\u00adnal pro\u00adges\u00adte\u00adro\u00adne sup\u00adple\u00admen\u00adta\u00adti\u00adon is advi\u00adsa\u00adble is deci\u00added based on your medi\u00adcal histo\u00adry, your cycle, and the cour\u00adse of a sub\u00adse\u00adquent pregnan\u00adcy. <\/p>\n\n\n\n

    \nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
    \n
    \nAnti\u00adco\u00adagu\u00adlant the\u00adra\u00adpy<\/strong><\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    In cer\u00adtain con\u00adfirm\u00aded clot\u00adting dis\u00ador\u00adders, anti\u00adco\u00adagu\u00adlant treatment\u2014for exam\u00adp\u00adle with hepa\u00adrin or low-dose ace\u00adtyl\u00adsa\u00adli\u00adcy\u00adlic acid\u2014may be useful. Whe\u00adther and which tre\u00adat\u00adment is recom\u00admen\u00added depends on the spe\u00adci\u00adfic fin\u00addings and your medi\u00adcal histo\u00adry. <\/p>\n\n\n\n

    \nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
    \n
    \nImmu\u00adno\u00admo\u00addu\u00adla\u00adto\u00adry tre\u00adat\u00adment<\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    In cases of recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, immu\u00adno\u00adlo\u00adgi\u00adcal fac\u00adtors may also play a role in some cases. If the exten\u00added immu\u00adno\u00adlo\u00adgi\u00adcal dia\u00adgno\u00adstics show rele\u00advant abnor\u00adma\u00adli\u00adties, we assess the\u00adse in a dif\u00adfe\u00adren\u00adtia\u00adted way and in the con\u00adtext of your fer\u00adti\u00adli\u00adty histo\u00adry and the other fin\u00addings. <\/p>\n\n\n\n

    Depen\u00adding on the indi\u00advi\u00addu\u00adal situa\u00adti\u00adon, dif\u00adfe\u00adrent immu\u00adno\u00admo\u00addu\u00adla\u00adto\u00adry tre\u00adat\u00adment approa\u00adches may be con\u00adside\u00adred. Which the\u00adra\u00adpy may be appro\u00adpria\u00adte depends on the type of abnor\u00adma\u00adli\u00adty, pos\u00adsi\u00adble com\u00ador\u00adbi\u00addi\u00adties, and pre\u00advious pregnan\u00adcy cour\u00adses. We dis\u00adcuss with you the various opti\u00adons, their poten\u00adti\u00adal bene\u00adfits and risks, as well as the respec\u00adti\u00adve sci\u00aden\u00adti\u00adfic data and evi\u00addence. Tog\u00ade\u00adther with you, we careful\u00adly weigh whe\u00adther and which immu\u00adno\u00admo\u00addu\u00adla\u00adto\u00adry tre\u00adat\u00adment may be appro\u00adpria\u00adte in your per\u00adso\u00adnal situa\u00adti\u00adon. <\/p>\n\n\n\n

    \nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
    \n
    \nSur\u00adgi\u00adcal tre\u00adat\u00adment of the ute\u00adrus<\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    If chan\u00adges in the ute\u00adrus are identified\u2014for exam\u00adp\u00adle cer\u00adtain polyps, fibro\u00adids, adhe\u00adsi\u00adons, or a mal\u00adfor\u00adma\u00adti\u00adon of the ute\u00adri\u00adne cavity\u2014surgical tre\u00adat\u00adment may be useful. Whe\u00adther an inter\u00adven\u00adti\u00adon is recom\u00admen\u00added depends on the type and ext\u00adent of the fin\u00addings. <\/p>\n\n\n\n

    \nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
    \n
    \nIndi\u00advi\u00addu\u00adal sup\u00adport in ear\u00adly pregnan\u00adcy<\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    After pre\u00advious mis\u00adcar\u00adri\u00ada\u00adges, a new pregnan\u00adcy is often asso\u00adcia\u00adted with gre\u00adat uncer\u00adtain\u00adty. Clo\u00adse moni\u00adto\u00adring and per\u00adso\u00adnal care in the first weeks of pregnan\u00adcy pro\u00advi\u00adde reassu\u00adrance and enable us to assess the deve\u00adlo\u00adp\u00adment of the pregnan\u00adcy ear\u00adly and respond indi\u00advi\u00addu\u00adal\u00adly if abnor\u00adma\u00adli\u00adties occur. <\/p>\n\n\n\n

    \nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
    \n
    \nFur\u00adther fer\u00adti\u00adli\u00adty tre\u00adat\u00adments<\/strong><\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n
    \n
    \n

    IVF or ICSI<\/a> may be useful if, in addi\u00adti\u00adon to recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, other fac\u00adtors are pre\u00adsent that make it more dif\u00adfi\u00adcult to achie\u00adve pregnan\u00adcy. We assess indi\u00advi\u00addu\u00adal\u00adly whe\u00adther repro\u00adduc\u00adti\u00adve medi\u00adcal tre\u00adat\u00adment offers an advan\u00adta\u00adge, based on your medi\u00adcal histo\u00adry and the dia\u00adgno\u00adstic results. <\/p>\n\n\n\n

    \nMake an appoint\u00adment<\/span><\/span><\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n
    \n
    <\/div>\n\n\n\n
    \n

    Ten\u00adder Loving Care: Com\u00adpas\u00adsio\u00adna\u00adte sup\u00adport after a mis\u00adcar\u00adria\u00adge<\/h2>\n\n\n\n

    After recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges, a new pregnan\u00adcy is often asso\u00adcia\u00adted with many<\/ins> worries and fears<\/ins>. As part of what is known as Ten\u00adder Loving Care, we the\u00adr\u00ade\u00adfo\u00adre sup\u00adport you par\u00adti\u00adcu\u00adlar\u00adly clo\u00adse\u00adly, espe\u00adci\u00adal\u00adly in the first weeks of pregnancy\u2014with regu\u00adlar ultra\u00adsound checks, per\u00adso\u00adnal con\u00adsul\u00adta\u00adti\u00adons, and con\u00adti\u00adnuous medi\u00adcal care. <\/p>\n\n\n\n

    Stu\u00addies sug\u00adgest that such inten\u00adsi\u00adve and sup\u00adport\u00adi\u00adve care after recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges can have a posi\u00adti\u00adve effect on the fur\u00adther cour\u00adse of pregnan\u00adcy. At the same time, the regu\u00adlar check-ups pro\u00advi\u00adde reassu\u00adrance and enable us to assess the deve\u00adlo\u00adp\u00adment of the pregnan\u00adcy ear\u00adly and respond indi\u00advi\u00addu\u00adal\u00adly if nee\u00added. <\/p>\n<\/div>\n<\/div>\n\n

    \n
    \n\"Close-up\n\n\n\n

    Per\u00adso\u00adnal sup\u00adport after recur\u00adrent mis\u00adcar\u00adri\u00ada\u00adges<\/h2>\n\n\n\n

    <\/p>\n\n\n\nArran\u00adge a con\u00adsul\u00adta\u00adti\u00adon appoint\u00adment<\/a>\n<\/div>\n\n\n\n

    \n