The true cause of recurrent miscarriages may not necessarily lie with the woman.

In the clinic, a couple sat down, their eyes heavy with exhaustion after three consecutive early miscarriages:

“Doctor, we've tested the female partner—all indicators are normal. Why are we still miscarrying?”

The answer might surprise you: The cause of miscarriage doesn't necessarily lie with the woman.

I. The True Probability of Early Miscarriage

Early miscarriage (before 12 weeks) occurs in approximately 10%-15% of the general population.

Two or more consecutive miscarriages are termed recurrent miscarriage.

60%-70% of early miscarriages are associated with embryonic chromosomal abnormalities.

Conclusion: Recurrent miscarriage is often caused by factors inherent to the embryo itself, rather than female functional abnormalities.

II. Male Factors Should Not Be Overlooked

High rates of sperm chromosomal abnormalities

Severe DNA fragmentation

Declining sperm quality may lead to embryonic chromosomal abnormalities

Research indicates male factors may account for 30%-50% of recurrent miscarriage causes.

Case Study: Mr. Liu, age 40, and his 32-year-old wife experienced three consecutive miscarriages.

Testing revealed Mr. Liu's sperm had a DNA fragmentation rate of 35%. After antioxidant therapy and ICSI, his wife successfully conceived.

III. Factors Beyond Female Contributions

Immune Factors: Antiphospholipid antibodies, etc.

Endocrine Factors: Thyroid disorders, glucose metabolism abnormalities

Uterine Structural Abnormalities: Congenital or post-surgical complications

Lifestyle and Environmental Factors: Smoking, alcohol consumption, chemical exposure

Therefore, comprehensive evaluation of both partners is crucial.

IV. Strategies and Decision-Making

Comprehensive Testing: Chromosomes, semen analysis, immunology, endocrinology

Assisted Reproductive Technology: PGT can screen for chromosomally normal embryos

Lifestyle Optimization: Couples synchronously improve health habits

Psychological Intervention: Mitigate adverse effects of excessive anxiety on physical health and embryos

V. Case Comparison

Couple Xiao Li experienced two consecutive miscarriages. Female parameters were normal, while male sperm exhibited high DNA fragmentation rate.

Achieved pregnancy after lifestyle optimization, dietary adjustments, and one ICSI cycle.

Couple Xiao Wang: Female had uterine structural abnormalities, male was unaffected.

Achieved pregnancy after uterine correction surgery

Conclusion: Recurrent miscarriage does not necessarily indicate female issues; male factors and other elements are equally critical.

VI. Conclusion

When facing recurrent miscarriage, scientific evaluation is more important than blind anxiety.

Anxiety does not solve problems; rational assessment and targeted interventions are effective.

Synchronized preparation by both partners is essential to truly improve pregnancy success rates and embryo health.

For fertility consultation in Kyrgyzstan, please contact your dedicated consultant

/Fertility Consultation /

Dr.Chan

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