As Many as 1 in 4 Pregnancies Result in Miscarriage

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Attain Fertility Centers and The AFA Produce Educational Video About Recurrent Miscarriage

As physicians it’s our obligation and responsibility to address those concerns even though the patient may not fully articulate them.

One of the most heartbreaking experiences women may find themselves going through is recurrent pregnancy loss or miscarriage. In a recent educational video by The American Fertility Association (, titled "What is Recurrent Miscarriage?", many troubling questions are answered and much hope is offered to prospective parents. The video, funded by Attain® Fertility Centers, is part of a series that addresses a wide range of fertility issues.

Dr. Isaac Z. Glatstein, Associate Medical Director at Reproductive Service Center of New England narrates the video in a calm, soothing manner that would put even the most concerned couple at ease. “Recurrent miscarriage is defined as a woman becoming pregnant and having two or three pregnancy losses,” Dr. Glatstein, explains. He goes on to say that approximately 25% of all pregnancies result in pregnancy loss, usually during the first trimester. There are many known causes for recurrent miscarriage including:

  •     Chromosomal issues: age, egg quality
  •     Uterine structural defects: scar tissue, fibroids
  •     Metabolic issues: diabetes, thyroid disease
  •     Blood disorders: coagulation propensity

When women present with recurrent miscarriages, doctors will do a thorough investigation of symptoms by getting her history and ordering a panel of tests to determine any possible causes. The tests include:

  •     Chromosomal test to see if a man or woman harbors inversion or translocation which is an abnormality within chromosomes that leads to miscarriage
  •     Evaluation of the Uterine Cavity to check the shape and size and to look for polyps or fibroids that may interfere with pregnancy
  •     Metabolic Evaluation to determine thyroid status, prolactin status and to make sure she’s not diabetic and her ovarian hormones are appropriate

“Lifestyle changes are absolutely critical in the counseling and ongoing management of a couple with recurrent miscarriage,” Dr. Glatstein continues. From making sure that they are getting enough rest, maintaining a healthy weight, and not consuming too much alcohol to checking their stress levels at work. “We check signs to see if they work in a comfortable environment; are they satisfied with work or do they feel they are under too much of a heavy load, which all can contribute to an increase in stress hormones.” He adds that many couples inquire about sexual activity and assures the viewer that there is no evidence that sexual activity will promote or lead to someone having a miscarriage. “That is something we counsel couples: it is important that they have a normal and healthy sexual activity together.”

Perhaps the most difficult issue Dr. Glatstein observes is the unspoken emotional toll recurrent miscarriages takes. “As physicians it’s our obligation and responsibility to address those concerns even though the patient may not fully articulate them,” he says. “Our responsibility is to inquire how they are doing emotionally, offer our own support and to stress to a couple that the majority of patients that do have miscarriages ultimately will have a healthy and successful pregnancy. We offer resources such as support groups, counseling and alternative adjunct therapies that may help them cope with the stress of recurrent miscarriage.”

Dr. Glatstein stresses that while he understands how devastating this recurring problem is to a couple, with better understanding of fertility risks that lead to miscarriage, the majority of them, with persistence, will conceive to carry a healthy pregnancy to term.

More information about recurrent miscarriage is available at

About IntegraMed America, Inc.
IntegraMed® America, Inc. manages highly specialized outpatient facilities in emerging, technology-based, niche medical markets and is the leading manager of fertility centers and vein clinics in the United States. IntegraMed supports its provider networks with clinical and business information systems, marketing and sales, facilities and operations management, finance and accounting, human resources, legal, risk management and quality assurance services. Attain Fertility Centers, an IntegraMed Specialty, is the nation's largest fertility network, comprised of 42 contracted centers with over 130 locations in 34 states and the District of Columbia. Nearly one of every four IVF procedures in the U.S. is performed in an IntegraMed network fertility practice. Vein Clinics of America, an IntegraMed Specialty, is the leading provider of varicose vein care services in the US, currently operating 36 centers in 13 states, principally in the Midwest and Southeast.
For information please visit: for fertility, or for vein care.

About The American Fertility Association
The American Fertility Association is committed to preventing infertility whenever possible and to helping people build families of choice, particularly when faced with infertility. AFA services and materials are provided free of charge to consumers and available to everyone without reservation. Contact The American Fertility Association at info(at)theafa(dot)org, visit or call 888.917.3777.

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Marcia Clark
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