
Q I heard chromosomal problems are why miscarriage keeps happening. If it is a chromosomal abnormality, is treatment possible?
A Chromosomal abnormalities in the embryo are one of the most common causes of recurrent miscarriage. If the problem lies in the embryo itself, prevention is difficult, but if a structural abnormality such as a balanced translocation in a parent is confirmed, prenatal genetic counseling and preimplantation genetic testing (PGT) can help select healthy embryos.
Detailed Answer
50-60% of spontaneous miscarriages are caused by chromosomal abnormalities in the embryo itself; in these cases, waiting for the next pregnancy is a more realistic approach than medical intervention. On the other hand, if one parent has a structural chromosomal abnormality such as a balanced translocation, abnormal embryos may form repeatedly, so selecting normal embryos through in vitro fertilization with preimplantation genetic testing (PGT) may be considered. Karyotype testing of both partners is a basic component of the recurrent miscarriage work-up.
Korean Medicine Clinic Perspective
At Dongjedang, when testing clearly identifies a cause, we advise prioritizing conventional medical treatment. However, when test results show no abnormality, or even while preimplantation genetic testing is being pursued, we consider that improving the uterine lining and overall condition can support the chances of pregnancy, so we design complementary Korean medicine treatment alongside.
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