Miscarriage, a word we don’t want to hear but unfortunately at times it happens and it’s hard to accept. A miscarriage more than once, leaves a woman wondering “why does this keep happening to me?” Repeated pregnancy loss needs to undergo evaluation. The reasons can be genetic factors, hormone imbalances, uterine, immune-related conditions.
That’s frustrating to hear, but recurrent miscarriage doesn’t mean you cannot have a successful pregnancy. At Dr. Arushi Sethi – Golden IVF, many couples move forward with clarity, confidence and hope with proper evaluation and personalised fertility care.
Understanding Recurrent Miscarriage
Recurrent miscarriage means experiencing multiple pregnancy losses, one after another and in such a case, a detailed fertility evaluation is the only way to determine the underlying reason.
Every cause of miscarriages can be different. Sometimes the issue lies with the embryo-related factors while sometimes, it may be related to uterus, hormone, genetics, an infection or another health condition.
Common Causes of Recurrent Miscarriages
Repeated pregnancy loss can happen due to a few different reasons, including:
1. Chromosomal or Genetic Problems
Chromosomal abnormalities in an embryo can stop normal development, and that’s often what leads to an early miscarriage. When pregnancy losses happen repeatedly, genetic factors may also be considered as well.
Golden IVF might recommend Preimplantation Genetic Testing (PGT-A) for some IVF patients as it can help access certain chromosomal abnormalities before embryo transfer.
2. Uterine Abnormalities
The uterus is supposed to provide a suitable environment for implantation and pregnancy development. But, problems such as fibroids, polyps, adhesions, scar tissue or any other structural abnormalities may interfere with pregnancy.
Depending on the condition, a doctor may advise to do ultrasound and hysteroscopy.
3. Hormonal Imbalances
Hormones play a major role in ovulation, implantation and pregnancy. Conditions that affect thyroid function, progesterone levels, and other reproductive hormones are required to evaluate.
Women with PCOS or PCOD often need a more individualised assessment of their hormonal and reproductive health.
4. Endometriosis and Other Gynaecological Conditions
Endometriosis is another condition that can affect reproductive health, and it may call for treatment before attempting again for pregnancy.
Fertility care at Dr. Arushi Sethi – Golden IVF includes treatment related to endometriosis, PCOS/PCOD, fibroids, and other factors that may affect female fertility.
5. Blood-Clotting or Immune-Related Factors
Blood-clotting disorders and autoimmune conditions can be one of the reasons for recurrent miscarriages. If your history has a possible connection, your specialist may suggest a more in-depth assessment.
Treatment needs to be based on your actual diagnosis, so never start medication on your own without medical guidance.
6. Age and Egg Quality
Egg quality changes with age and so the chances of chromosomal abnormalities in embryos. It’s one of the bigger factors doctors consider when evaluating recurrent miscarriage, alongside ovarian reserve and your pregnancy history so far.
What Tests Are Done for Recurrent Miscarriage
There are many tests to identify the cause of recurrent miscarriages and each one is different. Doctors decide on the basis of a patient’s medical history, age, past pregnancy outcomes, menstrual cycle and overall fertility profile. Depending on the situation, evaluation may include tests like:
| Evaluation | What it may help assess |
| Hormonal testing | Thyroid, progesterone and other hormonal factors |
| Ultrasound | Uterus, ovaries and reproductive anatomy |
| Hysteroscopy | Uterine cavity and abnormalities such as polyps or adhesions |
| Genetic assessment | Possible genetic or chromosomal factors |
| Fertility assessment | Ovarian reserve and reproductive health |
| Male fertility evaluation | Sperm count, motility and other sperm parameters |
| Advanced embryo testing | Chromosomal assessment of embryos in selected IVF cases |
How Is Recurrent Miscarriage Treated
There’s no single recurrent miscarriage treatment that is suitable for everyone. Treatment is solely based on the evaluation.
1.Treating Hormonal or Metabolic Conditions
If the evaluation finds a hormonal or metabolic issue, getting it under control before conception is often a key part of the treatment plan.
2.Treating Uterine Problems
Fibroids, polyps, adhesions or structural problems can affect the uterus, for which a hysteroscopic or laparoscopic treatment may be considered, depending on the case. Golden IVF offers both laparoscopic and hysteroscopic procedures for selected fertility-related conditions
3. Addressing Genetic or Embryo-Related Factors
For couples going through IVF, embryo testing such as PGT-A can be considered, if there’s a history of recurrent miscarriage, prior chromosomal abnormalities, or other relevant factors. PGT-A isn’t necessary for every IVF patient. It is also based on individual reproductive history and proper medical assessment.
4. Evaluating the Uterine Environment
For patients dealing with repeated losses or implantation concerns, additional evaluation of the uterine environment may be suggested. Golden IVF offers specialised testing, including ALICE and EMMA, to assess aspects of the endometrial environment in selected patients.
Can I Get Pregnant After Multiple Miscarriages
Yes. Recurrent miscarriage can raise a lot of questions and self doubt but it doesn’t mean a healthy pregnancy is not possible.
The best next step isn’t to keep guessing. It’s to find out the reasons behind the losses. A detailed evaluation helps your fertility specialist check for treatable factors such as hormonal, uterine, or chromosomal issues/abnormalities and decide on further IVF treatments. Based on the evaluation, suggestion may vary from medical management or surgery to fertility treatment, IVF, ICSI, or advanced embryo testing.
The Right Time to See a Fertility Specialist
Consider booking a consultation if you’ve experienced:
- Two or more pregnancy losses
- Repeated early miscarriages
- A miscarriage after fertility treatment
- A known uterine or hormonal condition
- PCOS/PCOD or endometriosis alongside pregnancy loss
- A previous pregnancy affected by a genetic or chromosomal issue
- Difficulty conceiving along with repeated miscarriage
Take the Next Step Toward a Healthy Pregnancy
If you keep asking yourself, “Why do I keep miscarrying?” you don’t have to find out the answer alone.
Recurrent pregnancy loss can be very sensitive and deserves a careful and personalised medical evaluation. With the help of the right assessment, a fertility specialist can identify possible causes, and discuss appropriate treatment options.
Book a consultation at Dr. Arushi Sethi – Golden IVF to discuss recurrent miscarriage and explore your options for personalised fertility treatment.
