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Recurrent Miscarriage

“Recurrent Miscarriage” is the term applied to cases of 3 or more consecutive miscarriages. CDS specialises in the investigation of recurrent miscarriage. It works very closely with Mr Raj Rai, consultant gynaecologist – specialist in reproductive medicine, who is regarded as a leading clinical figure in this field.

Advanced 2D and 3D transvaginal scanning (TVS) at CDS identifies anatomical malformation of the uterus (womb) or gynaecological disorders (e.g. fibroids etc.) which might prevent normal development of early pregnancy. Colour Doppler (blood flow) studies reflect poor hormonal activity of the ovaries which is crucial to the normal implantation and growth of an early conception.

Bill Smith, Head of CDS, is recognised internationally for his work in developing saline infusion (SIS) ultrasound examination of the uterine cavity.  SIS involves gently distending the cavity by flushing normal saline fluid through the cervix (neck of the womb).  Modern 3D TVS imaging detects lesions, such as fibroids and polyps, or poor development of the cavity lining (i.e. the endometrium) which might prevent pregnancy development. The procedure also outlines adhesions (i.e. scar tissue) which might occur within the cavity following previous surgical procedures on the uterus such as D & C or evaluation of retained products of conception following previous miscarriage.  Adhesions can prevent implantation or normal development of an early pregnancy.

Patients at CDS benefit from state of the art ultrasound scanning technology as part of the assessment of recurrent miscarriage. Direct referral to Mr Raj Rai allows more complex investigations to be conducted such as very specialised blood tests and genetic screening of patients.  Collaborative work between CDS and Mr Raj Rai allows access for patients to extensive experience and expertise in assessing the cause of recurrent miscarriage as well as subsequent treatments.

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