Our expert says:
There appears to be more than one likely possibility for your miscarriages. The first trimester miscarriages maybe due a very different set of causes as apposed to the mid-trimester miscarriages. It is likely that both problems surfacing in both cases simultaneously. There is undoubtedly some deficit in your uterine structure as manifested by the septum as well as the history highly suggestive of incompetence cervix. There is also a high possibility of implantation failure accounting for a first trimester miscarriages possibly due to embryonic problems or some form of blood immune related factors. All these may need to be investigated independently. The only advise I can offer you at this stage is the trans-abdominal stitch, which has shown to be of great value in patient who failed with the conventional type of stitch. This should be combined with aggressive uterine relaxation throughout the pregnancy in the form of progesterone supplementation as well as regular causes of antibiotics even though there may be no clinical evidence of infection.
Answered by: Dr M.I. Cassim
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.