Care for Recurrent Pregnancy Loss
Compassionate evaluation, evidence-based options, and support for your next steps.
Multiple miscarriages are emotionally and physically exhausting. While not every cause can be identified, many people find answers and go on to have successful pregnancies. We provide a clear evaluation plan and supportive care tailored to you.
Fast Facts
Recurrent pregnancy loss (RPL) is typically defined as two or more losses
Causes can include genetic, anatomic, hormonal, immune, or unexplained factors
A structured workup helps guide next steps
Supportive care and close follow-up improve the experience of future pregnancies
What We Evaluate
- Personal and family history, prior pregnancy details
- Uterine anatomy (ultrasound ± saline sonogram or MRI if needed)
- Hormonal and metabolic factors (thyroid, prolactin, diabetes screening)
- Genetic considerations (products of conception testing when available; parental karyotype in select cases)
- Antiphospholipid antibody testing based on history
- Lifestyle and environmental factors
Why It Matters
Understanding potential contributors helps set expectations and shape a plan—whether trying again, timing additional testing, or pursuing fertility care. Validation and support are essential parts of care.
Diagnosis & Evaluation
We review your history and prior records, then outline recommended testing step by step. Imaging may assess the uterine cavity. Select labs can look at thyroid function, prolactin, hemoglobin A1c, and antiphospholipid antibodies when appropriate. Genetic counseling may be discussed.
RPL vs. Sporadic Miscarriage
Recurrent Pregnancy Loss
- Two or more losses
- Benefits from a structured workup
- Plan often includes preconception optimization and early pregnancy support
- Specialist referral considered when results are complex or losses continue
Sporadic Miscarriage
- Single loss is common and often due to chromosomal factors in the embryo
- Extensive testing is usually not needed after one loss
- Many conceive and carry successfully next time
- Focus on emotional support and routine preconception care
Treatment & Support Options
Care depends on findings and goals. Options may include optimizing thyroid or metabolic health, addressing uterine anomalies, targeted therapies for antiphospholipid syndrome when diagnosed, and early pregnancy support (tracking, progesterone in select cases, close follow-up). We coordinate with fertility specialists as needed.
What to Bring to Your Appointment
- ✓Prior pregnancy records and any pathology/genetic reports
- ✓Imaging results (ultrasound, HSG, MRI) if available
- ✓Medication and supplement list
- ✓Questions and priorities for future pregnancy
Frequently Asked Questions
1How many losses before evaluation?
Evaluation is often considered after two or more losses. We can also discuss testing sooner based on your history and preferences.
2Will we find a cause?
Not always. Even when testing is normal, many people still go on to have a successful pregnancy. We focus on readiness, monitoring, and supportive care.
3Should I wait before trying again?
Timing is individualized. We review recovery, any testing plans, and what feels right emotionally and physically before deciding on next steps.
4What support is available in early pregnancy?
Early ultrasounds, labs to track hormone trends, medication when indicated, and frequent check-ins can provide reassurance and guide care.
A Clear Path Forward
We’ll review your history, outline a targeted workup, and support you through next steps toward a healthy pregnancy.
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