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Recurrent Miscarriage is a frustrating problem for both the patients and doctors. The occurrence of 3 or more clinically recognized consecutive pregnancy losses before 20 weeks from the last menstrual period is generally recognized as recurrent miscarriage. The incidence of recurrent miscarriages may affect as many as 1-3% of childbearing women. Almost 75% have first trimester losses while 25% have second-trimester losses. Advanced Fertility & Gynaecology Centre (AFGC) feels strongly towards updating the medical knowledge and passing on the latest scientific benefits to the patients. To fulfill this objective, the center conducted a CME along with FOGsD and AOGD on the 10th August at Radisson Inn, Lajpat Nagar.
The session was attended by the renowned medical professionals and highly experienced doctors from across the country. Dr. Kaberi Banerjee, Director, Advanced Fertility and Gynaecology Centre gave a presentation to give an overview of the process of ‘IVF & Recurrent Implantation Failure’ and give an in depth account of recurrent miscarriages, the factors causing miscarriage and the process of IVF as a great option.
Recurrent Miscarriages—Failure to achieve a clinical pregnancy after transfer of at least 4 good-quality embryos in a minimum of 3 fresh or frozen cycles in a woman under the age of 40 years.
Factors Resulting in Failure: Embryo factors & uterine factors such as inappropriate ovarian stimulation, suboptimal laboratory culture conditions and faults in embryo transfer techniques.
Oocyte Scoring & Sperm Structural Defects: The session unveiled the cause of Infection or inflammation of genital tract, Varicocele, Testicular maldescent, impaired spermatogenesis, radiotherapy or chemotherapy, poor oocyte quality etc.
Treatments: A thorough analysis of techniques such as IVF, treatment for embryonic factor.
Managing Poor Respondents in IVF: Understanding the key issues, treatment, blastocyst transfer, assisted hatching, ZIFT (Zygote Intra-Fallopian Transfer), PGS method
The Process of Implantation: A detailed analysis of Immunological factors, Endometrial Receptivity Array (ERA), Recurrent Implantation Failure.
Improving Soil: Development in reproductive medicine
Recurrent Miscarriages are categorized into 2 types—Primary & Secondary. In Primary RPL, there is no previous full term pregnancy while in the Secondary stage, at least one successful pregnancy was carried out by the patient. The condition has severe psychological impact on the couple which may lead to extreme distress and depression. There are many factors that result in recurrent miscarriages that can be diagnosed under the supervision of a highly experienced gynecologist.
The session was followed by a Q&A session that burst myths about the issue of recurrent miscarriages, its causes, and treatment.
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