Recurrent Pregnancy Loss
Recurrent miscarriages are among the most difficult and stressful things a couple can suffer from. The sense of loss and guilt that accompany repeated pregnancy losses can feel overwhelming. At Princeton IVF, we care for many couples with recurrent first trimester miscarriages and understand this all too well.
Fortunately though, reality is better than perception.
Reality vs perception with recurrent miscarriage
A couple of things to keep in mind:
- most miscarriages are due to random chromosomal errors
- many women with recurrent miscarriage will eventually be successful, particularly those who have had children before
- while strictly recurrent miscarriage refers to 3 or more miscarriages, most reproductive specialists will begin evaluation after only 2 miscarriage since the risk for an additional loss is almost the same
Evaluation of Recurrent Miscarriage
At Princeton IVF we evaluate women for recurrent first trimester miscarriages and we encourage couples to come for a consultation in after 2 miscarriages. The work-up is customized for each couple but may include:
- chromsome testing for translocations
- testing for autoimmune and blood clotting disorders
- testing for hormonal disorders
- evaluation of ovulation and progesterone
- evaluation of the uterus for abnormalities
Treatment of Recurrent Miscarriage
After the work-up is complete, we may begin treatment if appropriate, which may include:
- ovulation induction with fertility drugs
- correction of underlying hormone abnormalities
- IVF with preimplantation genetic testing
- surgical correction
- no treatment
Even if there is no treatment required, we follow all of our patients closely through the better part of the first trimester to ensure the pregnancy is going well.