Recurrent Miscarriages

Simone has a long-standing professional interest in helping women who have suffered recurrent pregnancy loss. While most often, investigation leads to a finding of ‘unexplained’ pregnancy loss, occasionally it will reveal a treatable issue.

It is preferable to review couples early in the fertility process, in order to assess and reassure for a future pregnancy. Simone also organises early monitoring of any subsequent pregnancy through such tests as ultrasound and measuring levels of hormones associated with pregnancy to ensure a normally progressing pregnancy.

History

Investigations are done for possible causes of recurrent pregnancy loss,eg. Thyroid dysfunction, possible embryo implantation issues, anatomy (shape) of uterus, health of sperm, genetic factors, lifestyle factors etc. After thorough investigation, I will discuss the most appropriate management options for you and your partner.

Why Can’t I Get Pregnant?

There are many reasons why couples have a delay in achieving a pregnancy.  Unfortunately there is no single answer to each of these problems.  This is why a thorough medical history discussion and a clinical examination needs to occur for each couple.
Simone understands that no two couples are the same, and that fertility issues can be complex.  During the first appointment,

Simone will talk to you both about your individual circumstances.  Investigations will be ordered and a time will be organised to see you both to discuss these results.

Common Causes For Infertility

• Ovulation disorders – when a woman’s ovulation is unpredictable or absent. Polycystic ovarian syndrome is an example of this.
• Fallopian tube blockage – This can be related to pelvic infection, or can be associated with complications of previous pregnancies or miscarriage.
• Sperm issues – this can be easily assessed with semen analysis
• Endometriosis  – when the lining cells of the uterus are abnormally growing elsewhere in the pelvis.  This can affect the chance of implantation of an embryo into the uterus.
• Sexual dysfunction
• Unexplained infertility