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How Are Recurrent Miscarriages Diagnosed and Treated?

Experiencing multiple miscarriages is emotionally exhausting — but it’s more common and treatable than many realize.

When It’s Considered “Recurrent”

Doctors typically define recurrent miscarriage as two or more consecutive losses.

Common Causes

  • Chromosomal abnormalities in the embryo

  • Uterine abnormalities (fibroids, septum, scarring)

  • Blood clotting or autoimmune disorders

  • Hormonal or endocrine disorders

  • Unexplained (in about half of cases)

Diagnostic Workup

Evaluation may include blood tests for hormonal, autoimmune, or clotting disorders, pelvic ultrasound or hysteroscopy to assess uterine structure and genetic testing for chromosomal abnormalities in parents. 

Additional tests like thyroid function, prolactin  may also be recommended.

Treatment Options

  • Progesterone supplements for luteal phase support

  • Low-dose aspirin or heparin are used only when blood-clotting disorders like Antiphospholipid syndrome are diagnosed.

  • Surgery can correct structural abnormalities such as uterine septum or scarring.

  • Lifestyle adjustments (thyroid support, weight management)

Emotional Side

Each new pregnancy can feel like holding your breath, balancing hope and fear. Emotional support through counselling groups, or fertility networks can be invaluable during this time.

“Hope and fear existed side by side.”

Key Takeaways

  • Recurrent miscarriage has identifiable and often treatable causes.

  • Specialized testing can uncover hidden factors.

  • Emotional support is essential alongside medical care.

✨ Sibyl provides education and reassurance between appointments — helping you understand test results and treatment options in plain language. Sign up to test an early version of the app here: https://www.sibyl.care/signup

Sources

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