Dr. Rakshitha Shetty Obstetrician & Gynecologist, Infertility Specialist, Laparoscopic Surgeon

Recurrent miscarriage, also known as recurrent pregnancy loss (RPL), is defined as the occurrence of two or more consecutive pregnancy losses before 20 weeks of gestation. Experiencing recurrent miscarriages can be emotionally challenging, and it's important for individuals and couples to seek medical evaluation and support.

Here are some key points related to recurrent miscarriage:

1. Causes:

   • Chromosomal Abnormalities: The most common cause of early pregnancy loss is chromosomal abnormalities in the embryo.

   • Uterine Abnormalities: Issues with the shape or structure of the uterus can contribute to recurrent miscarriage.

   • Hormonal Imbalances: Disorders such as polycystic ovary syndrome (PCOS) or thyroid problems can affect fertility.

   • Immunological Factors: Some autoimmune disorders may play a role in recurrent miscarriage.

   • Blood Clotting Disorders: Conditions that affect blood clotting, such as antiphospholipid syndrome, can contribute to pregnancy loss.

2. Medical Evaluation:

   • If a person or couple experiences recurrent miscarriage, it is essential to undergo a thorough medical evaluation. This may include a review of medical history, physical examinations, blood tests, genetic testing, imaging studies (such as ultrasound), and other specialized tests.

3. Treatment:

   Treatment will depend on the identified cause of recurrent miscarriage. For example:

   • If chromosomal abnormalities are detected, genetic counseling may be recommended.

   • Uterine abnormalities may be addressed through surgery.

   • Hormonal imbalances might be corrected with medications.

   • Immunological or blood clotting disorders may be managed with specific treatments.

4. Support and Counseling:

   • Experiencing recurrent miscarriage can be emotionally distressing. It is crucial for individuals and couples to seek support from healthcare professionals, counselors, or support groups to cope with the emotional aspects of pregnancy loss.

5. Future Pregnancy Planning:

   • Individuals who have experienced recurrent miscarriage may benefit from preconception counseling to address potential risk factors and develop a plan for future pregnancies.

It's important to note that, in many cases, the specific cause of recurrent miscarriage may not be identified. However, advancements in medical science and fertility treatments have provided hope for many couples facing this challenge. If you or someone you know is dealing with recurrent miscarriage, seeking the guidance of a healthcare professional specializing in reproductive health is crucial to determine appropriate testing and potential treatments.