Steroids in RPL

Steroid in RPL-its role?? Should we rule out autoimmune diseases in such cases? What test we should order to rule out this condition? In obstinate cases one may possibly use omnacortil in 1st trimester in idiopathic recurrent miuse.seen good results by some colleagues. Steroids Wundt put a possible xx fetus at risk of virilization? One of our pt advised 30 mg omnacortil at Kishanganj medical College,  Bihar with good outcome but one cant attribute it to steroid only unless RCT is done in cases where no cause can’t be substantiated. AS  mentioned earlier  Some people are using immunoglobin bharglobe intramuscular injections weakly or fortnightly
Prior to conception and during first trimester

 In unexplained recurrent miscarriage, supportive care on its own can give good outcomes in up to 70 percent women. The problem with using treatment methods that are unproven is that the woman starts believing that she needs it in all future pregnancies and some of these treatments have not been studied well enough to ensure low risk of harm.