@jauhar123 | Posted 03 Sep. 2019
CAUSES AND TREATMENT
Anatomic: The anatomic malformations of the *****, which are either congenital (septate ***** and bicornuate) or acquired (uterine fibroids, endometrial polyp, intrauterine adhesions and hydrosalpinx), may interfere with normal implantation. Tests like TVS (2D/3D), MRI, hystero laparoscopy help evaluating such abnormalities. Hysteron laparoscopic surgeries can mostly correct the issue.
Endometrium: They implement new techniques to increase the endometrial thickness to 8mm, for a successful implantation, and prepare it for the window of implantation.
Immunologic factors: The immunological system plays a critical role in implantation, maintenance of pregnancy. Couples who share common HLA alleles may experience recurrent implantation failure. Infusion of 20% intra lipid solutions can address the problem.
Male factors: High DNA fragmentation index in ***** that can cause recurrent miscarriages are treated with medical or surgical modalities with TESA.
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