Very early on in any pregnancy, there are things that can go wrong. At times, things go bad so early on that the woman had no idea that she was pregnant. For very sensitive women that want very badly to get pregnant, that can be a blessing in disguise. When there are early pregnancy complications and issues, chances are good that the pregnancy would not have been viable no matter what type of medical intervention is used. Other times, repeated early miscarriages indicate something is wrong, and often these things can be corrected to save the next pregnancy.
In most cases of very early pregnancy complications, the body is rejecting the fertilized egg because it will not grow into a healthy baby. Quite often, this is because there are chromosomal problems with the embryo. This sounds like a serious problem, but it actually happens quite often. Women have this type of loss so early it seems like a regular period that is just a few days late and may be a bit heavier than usual. The woman often does not know what happened and is spared the pain of miscarriage.
In some other cases, the woman is aware that she is pregnant, but the pregnancy seems to be faltering. This can be diagnosed when spotting that is getting heavier is reported to the doctor. These woman can then get blood taken a few days apart. If the levels of HCG are going up, the pregnancy is still viable. However, in most cases, the levels are going down, indicating the woman is having early pregnancy complications. This may be a prime time to find out if something else is going on that is causing miscarriage.
Early pregnancy complications can include low levels of progesterone in some women. This happens in women with PCOS (polycystic ovarian syndrome), but can happen to others as well. Progesterone is produced to keep the egg and the lining of the uterus in place so the pregnancy can continue. If the levels are too low, the pregnancy will be lost. There are ways to combat this issue. If the proper diagnosis can be made, there are things a woman can do to supplement the progesterone she is making so the pregnancy remains healthy and goes for nine months.
Some woman have physical issues that produce very early pregnancy complications. They may have an incomplete cervix, which means the cervix does not close to protect the pregnancy and a miscarriage may be coming. This can be fixed in some cases as long as a doctor knows this could be a problem. Often, doctors won't look for these or any other pregnancy complications until a woman has had more than one miscarriage in a row. If you are in this position, talk to your doctor about your concerns and what tests you may need to see if you can save your next pregnancy from miscarriage. Sometimes, these things may be simple things like creams or medications, and other times some surgical intervention may help.