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How Are Recurrent Miscarriages Diagnosed and Treated?

Clinically reviewed by Dr. Ashlesha Patwardhan, Reproductive Health Doctor & Women's Health Researcher| Last reviewed: October 2025

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

  • Genetic testing for chromosomal abnormalities in parents

  • Additional tests like thyroid function and prolactin may also be recommended.

Treatment Options

  • Progesterone supplements for luteal phase support

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

  • Surgery to 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.

For an overview of what causes miscarriage in general, read What Causes Miscarriage? Common Myths vs. Medical Facts. For a detailed look at the testing process, see How Do Doctors Test for the Cause of a Miscarriage?. And if you’re thinking about what future pregnancies might look like after recurrent loss, Understanding the Risk: Will Miscarriage Happen Again? gives the broader statistical context.

Sometimes miscarriage leaves more questions than answers. Sibyl is a private, confidential space to process what you’ve been through — including the uncertainty. Try Sibyl

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