Recurrent pregnancy loss is emotionally difficult and medically complex. It is usually defined as two or more consecutive miscarriages. Management starts with careful evaluation rather than rushed treatment.
Doctors review medical history, pregnancy timelines, and previous test results. Genetic testing may be recommended for both partners to identify chromosomal issues.
Hormonal evaluations check thyroid function, progesterone levels, and insulin resistance. These factors can affect early pregnancy development.
Uterine evaluation looks for structural problems such as fibroids, septum, or adhesions. Imaging tests and hysteroscopy help identify abnormalities that may interfere with implantation or growth.
Immunological and blood clotting disorders may also be assessed. Conditions like antiphospholipid syndrome can increase miscarriage risk if untreated.
Once causes are identified, treatment plans are tailored to the individual. This may include hormonal support, medications, or surgical correction. In some cases, assisted reproduction with genetic testing is recommended.
The focus is on reducing future risk, not placing blame. With proper evaluation and care, many patients go on to have successful pregnancies.
