- UTERINE ANOMALIES IN REPEATED PREGNANCY LOSSES
1-Septated uterus: It is the most common anomaly that produces the worst results. . The septum may be complete or partial. If it is partial, it creates two separate spaces in the upper part of the uterus, and if it is complete, it creates two separate spaces within the uterus. 79% of cases with septate uterus result in miscarriage. Diagnosis can be made with Transvaginal Ultrasound, but 100% diagnosis can be made with MRI. The diagnosis rate with HSG is 55%. The anomaly is corrected by eliminating the septum with hysteroscopic and laparoscopic operations.
2-Bicornuate uterus: There are two separate but related cavities in the uterus. The upper part of the uterus The part is collapsed. It is frequently seen among anomalies (46%). The main problem is 2nd 3rd month miscarriages and premature birth.
3- Uterus didelphys:There are two intrauterine cavities, two cervixes and two vaginas. 23% are associated with renal anomalies. Better results are observed in TGK.
4- Arcuate uterus:A minimal depression is observed in the upper part of the uterus. It is not possible to decide whether it is an anomaly or a type of normal uterus.
- CERVICAL INSUFFICIENCY AND TGK
TGK also requires follow-up. is a situation. It is necessary to avoid unnecessary surgical intervention with regular ultrasounds.
Evidence-based scientific studies have shown that infection does not play a role in TGK, therefore routine infection screening is not necessary.
Ultrasound examinations performed in early pregnancy in TGK are good. It has been observed that it has a positive effect.
As a result, in TGK
*Caryotype analysis should be performed on couples
*Investigation of uterine anomalies and treatment, if any
*Requesting necessary tests for thrombophilia panel and antiphospholipid syndrome. If the tests are positive, special treatments should be applied during pregnancy
*Initiating folic acid before pregnancy and adding B6 and B12 supplements in cases of high homocysteine
*Examining hormonal factors and treating problems
*If there are coagulation-related diseases, starting 80-100mg aspirin before pregnancy
For recurrent pregnancy losses are also factors that increase success.
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