Recurrent Miscarriage: Causes, Tests, and What to Do Next

You Deserve Answers, and Support

Miscarriage is more common than many people realise, and a single loss is usually not a sign of a lasting problem. Recurrent miscarriage — typically defined as two or more consecutive losses — is different. It deserves proper evaluation, and it deserves to be met with care rather than a shrug of "try again."

Dr. Sanjana L supports women and couples through this across HSR Layout and Attibele, combining a thorough search for causes with steady emotional support.

Possible Causes

Recurrent miscarriage can have several contributing factors, and sometimes more than one is involved:

• Hormonal and metabolic — thyroid problems, poorly controlled diabetes, or PCOS
• Uterine factors — the shape of the uterus, fibroids or polyps affecting the cavity
• Genetic — chromosomal factors in either partner
• Blood clotting disorders — such as antiphospholipid syndrome
• Immune and other factors
• In many cases, investigation finds a treatable cause; in some, no clear cause is found — and even then, the outlook for a future pregnancy is often good.

The Tests That Help

Evaluation is done as a couple and usually includes:

• Blood tests — thyroid, blood sugar, hormonal and clotting screens
• A pelvic ultrasound, and sometimes a hysteroscopy, to assess the uterus
• Genetic testing where indicated
• Review of both partners, not just the woman

The Way Forward

Treatment depends on what is found — for example, managing thyroid or blood sugar, correcting a uterine problem, or specific medication for clotting disorders. Care also includes closer monitoring in the next pregnancy, which is where our high-risk pregnancy care comes in. If conceiving is also proving difficult, our fertility treatment support can help.

Frequently Asked Questions

What counts as recurrent miscarriage?

It is usually defined as two or more consecutive pregnancy losses. At this point, evaluation for underlying causes is recommended.

Can recurrent miscarriage be treated?

Often yes. When a cause such as a thyroid, uterine or clotting problem is found, treating it can significantly improve the chance of a successful pregnancy.

Will I be able to have a baby after recurrent miscarriage?

Many women go on to have a successful pregnancy, even when no clear cause is found. Evaluation and closer monitoring improve the odds.

Should my partner be tested too?

Yes. Some causes, such as certain genetic factors, involve the male partner, so evaluating both is important.

Consult Dr. Sanjana L

Dr. Sanjana L (MBBS, MS — OBG, Gold Medalist) provides thorough, compassionate care for recurrent pregnancy loss. You do not have to navigate this alone. Learn more about Dr. Sanjana, see her HSR Layout and Attibele clinics, or book an appointment.