4 July 2013

Management of Miscarriage and Ectopic Pregnancies

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Sims IVF

This week, our team has discussed new guidelines for the management of miscarriage and ectopic pregnancies.  Thankfully ectopic pregnancies are a relatively rare occurrence, but they do require swift and decisive action.  

We discussed the case of a patient with multiple failed cycles, two at Sims and two elsewhere. Our new FMR 1 test showed up a low, norm allele ratio on the fragile X gene so we can now counsel this patient that she needs a specifically modified protocol (with more embryos transferred), to match the normal chances of successful pregnancy. 

In addition, her stress markers were high, so a three month break with DHEA supplementation was recommended.

Dr. David Walsh, MRCOG

Sims IVF