A miscarriage can take time to come to terms with. After one loss, many women need space before they are ready to think about another pregnancy. A second miscarriage can bring a different kind of worry. You may start wondering if something is wrong and whether it is better to have some tests done before trying again.
Recurrent pregnancy loss is generally defined as two or more pregnancy losses. At this stage, a consultation with a fertility specialist can help determine possible reasons rather than simply trying again without knowing what may have contributed to the losses.
Recurrent miscarriages can occur due to several reasons and at Dr. Jyoti Bali BabySoon IVF Center, we consider your previous pregnancies, medical history and individual fertility needs to identify the factor before recommending any tests or treatment.
Experiencing Recurrent Miscarriages? A Closer Evaluation is Needed
A miscarriage is relatively common in early pregnancy. In a few cases, it occurs due to a chromosome abnormality that prevents normal development, while others might have a different underlying issue.
Additional testing may be recommended to check for possible issues with hormone levels, the uterus, genetic factors, or other conditions that could be contributing to the losses (majorly after two to three miscarriages).
But, repeated pregnancy loss doesn’t mean a healthy pregnancy is not possible in the future. Many women go on to have a successful pregnancy, even when testing does not reveal a definite cause for the earlier losses.
Get a Fertility Consultation at BabySoon IVF Centre
A fertility consultation can be considered after two pregnancy losses. You may also benefit from an earlier assessment if there are other fertility or medical concerns.
Consulting a recurrent miscarriage specialist may be particularly relevant if you:
- Have experienced two or more miscarriages
- Have had pregnancy losses at different stages
- Have been trying to conceive for a long time
- Have a history of infertility or previous fertility treatment
- Have irregular menstrual cycles or PMOS
- Have a thyroid or other metabolic condition
- Have been diagnosed with a uterine abnormality
- Have a known genetic condition affecting you or your partner
You do not necessarily need to undergo a long list of tests. The purpose of the consultation is to understand your history first and then decide which evaluations, if any, are required to go ahead for the treatment.
Possible Reasons Behind Recurrent Miscarriage
Different factors may be involved leading to recurrent miscarriages and sometimes even evaluations do not identify a clear reason.
Some of the areas a recurrent miscarriage doctor may consider include genetic factors, the uterus, hormonal and metabolic health, and certain autoimmune conditions.
Genetic and Chromosomal Factors
Chromosomal changes are one of the recognised recurrent miscarriage causes of early pregnancy loss. Often, these changes occur randomly as the embryo develops. The likelihood can also increase with maternal age.
In a smaller number of cases, one partner may carry a chromosomal rearrangement that does not cause noticeable health problems but can affect the chromosome balance of an embryo. Depending on the pregnancy history, genetic counselling or testing may therefore be discussed.
Uterine and Structural Factors
The condition and shape of the uterus can also be relevant. Fibroids, polyps, uterine septum and intrauterine adhesions are examples of conditions that may require further evaluation.
Finding a uterine abnormality does not automatically mean it caused the miscarriage. Your symptoms, medical history and previous pregnancies are all taken into consideration before deciding a particular treatment.
Hormonal and Metabolic Health
Some health conditions can affect the ability to maintain a pregnancy. Thyroid disorders and poorly controlled diabetes, for example, may need attention before another pregnancy.
PMOS and other hormonal concerns may also be considered, particularly when there are irregular periods, difficulties conceiving or other related symptoms. Testing should be based on the patient’s individual history rather than performed routinely without a clear reason.
Autoimmune Factors and Other Causes
Antiphospholipid syndrome, commonly called APS, is one condition associated with recurrent pregnancy loss. If your medical or pregnancy history suggests a possible risk, your doctor may recommend appropriate testing.
Other factors may also be considered depending on your circumstances. This is why recurrent miscarriage treatment should not be approached as a standard package of tests and medicines. Finding the likely reason, where possible, helps the specialist decide whether treatment is actually needed.
Your Evaluation Starts With Your Pregnancy History
At Dr. Jyoti Bali Baby Soon IVF, the first step is understanding what you have experienced rather than immediately recommending a treatment.
During your consultation, we may discuss your previous pregnancies, the stage at which each miscarriage occurred, previous investigations and treatments, menstrual history and any existing medical conditions. Your family history and your partner’s medical history may also be relevant.
The tests may include evaluations of the uterus, thyroid and metabolic health, along with genetic testing or tests for conditions such as APS.
Treatment for Recurrent Miscarriage Depends on What’s Found
Your recurrent miscarriage treatment will be based on what the evaluation finds and what is most suitable for your situation.
For example, a problem with the uterus may need surgery. If your tests show a thyroid or metabolic problem, your doctor may first recommend getting it under control before you try for another pregnancy.
IVF may also be discussed in some situations, especially if you have other fertility problems or there is a genetic concern. But having recurrent miscarriages does not automatically mean you need IVF.
Every fertility journey is different. At Dr. Jyoti Bali BabySoon IVF, your doctor takes a closer look at your medical history, past pregnancies and fertility reports before suggesting the next step. Your family-building goals are part of that discussion too.
No Clear Cause Found? No Worries
Sometimes, the evaluation does not identify a specific cause for recurrent pregnancy loss. This can be difficult, particularly when several evaluations have been completed without a clear explanation for the miscarriages.
Unexplained recurrent pregnancy loss does not mean that a successful pregnancy is not possible. Many women go on to have a healthy pregnancy even when no definite cause is found.
Finding the Right Fertility Care After Repeated Miscarriage
After repeated pregnancy loss, it can be hard to know what to do next. A recurrent miscarriage specialist can review your previous pregnancies, test results and overall fertility history to help you understand your situation more clearly.
Dr. Jyoti Bali has more than 20 years of experience in fertility and reproductive medicine. At Dr. Jyoti Bali BabySoon IVF, we look at recurrent pregnancy loss in the context of each patient’s medical and reproductive history. The evaluation is not the same for everyone.
We focus on looking for possible factors that may be contributing to the losses and explaining which evaluations or treatment options may be relevant.
Taking the Next Step After Two or More Miscarriages
If you have had two or more miscarriages, speaking with a recurrent miscarriage doctor can help you understand what may be worth investigating. You may not need every available test, and IVF may not be necessary in every case. The first step is to look at your individual history and understand what could be contributing to the losses.
At Dr. Jyoti Bali BabySoon IVF we provide recurrent miscarriage treatment and fertility evaluation for women and couples experiencing recurrent pregnancy loss. If you are considering another pregnancy after repeated miscarriage, a consultation can help you understand your fertility health, the available options and what may be appropriate for your situation.
