“…Several factors affect RPL such as congenital and anatomical causes, acquired defects, endocrine disorders such as hyperprolactinemia, polycystic ovary syndrome, insulin resistance, untreated diabetes, luteal phase defects in thyroid function, thyroid antibodies, obesity, genetic factors, blood coagulation syndrome ( 55 ). The text-mining analysis found that the etiology of the RPL mainly consists of embryonic karyotype ( 51 ), antiphospholipid syndrome, uterine abnormalities, and abnormal chromosomes ( 57 ), ( 58 ), genetic, anatomical, and infectious factors, auto-immune system abnormalities and endocrine disorders ( 3 ), thrombophilia ( 4 ), male factors ( 3 ), parental chromosomal abnormalities, untreated hypothyroidism, uncontrolled diabetes mellitus, certain uterine anatomic abnormalities, and antiphospholipid antibody syndrome, endocrine disorders, heritable and acquired thrombophilia’s, immunologic abnormalities, infections, and environmental factors ( 59 ). Pre-implantation genetic diagnosis significantly reduced spontaneous abortions ( 60 ).…”