Recurrent Miscarriage: Finding Hope and Support
Few experiences are as painful or misunderstood as recurrent miscarriage. If you've experienced two or more pregnancy losses, you're not alone. And, more importantly..
Few experiences are as painful or misunderstood as recurrent miscarriage. If you've experienced two or more pregnancy losses, you're not alone. And more importantly, you’re not without options. At Reproductive Centers of America, we’re here to help you find both answers and renewed hope.
What Is Recurrent Pregnancy Loss (RPL)?
Recurrent pregnancy loss (RPL) is typically defined as two or more consecutive miscarriages before 20 weeks gestation. While miscarriage is unfortunately common (affecting up to 20% of pregnancies), multiple losses may signal an underlying issue that can—and should—be investigated.
Common Causes of Recurrent Miscarriage
Every case is unique, but here are some of the more common contributors to RPL:
- Genetic factors: Chromosomal abnormalities in the embryo or translocations in one of the parents
- Uterine abnormalities: Septate uterus, fibroids, adhesions, or polyps
- Hormonal imbalances: Uncontrolled thyroid disorders, PCOS, or luteal phase defects
- Autoimmune issues: Conditions like antiphospholipid syndrome (APS) or elevated natural killer cells
- Blood clotting disorders: Thrombophilias that interfere with placental development
- Infections or chronic inflammation
- Lifestyle factors: Smoking, excessive caffeine or alcohol, or poorly managed stress
- Unknown causes: Sadly, up to 50% of RPL cases remain unexplained without deeper investigation
The Emotional Toll—And the Power of Validation
If you've faced miscarriage after miscarriage, you've likely also faced isolation, confusion, and grief. Friends may not understand. Doctors may dismiss it as “bad luck.” You may even start to blame yourself.
At RCA, we reject that narrative. We believe you deserve to be seen, heard, and given the full attention of a team that takes your history seriously. Miscarriage is never your fault. And recurrent miscarriage is never something you should endure without support.
How RCA Approaches Recurrent Pregnancy Loss
Our multidisciplinary team offers a comprehensive RPL evaluation, which may include:
- Genetic testing (parental karyotyping, PGT-A/PGT-M on embryos)
- Uterine imaging (3D saline sonogram, hysteroscopy, MRI if needed)
- Thrombophilia and autoimmune panels
- Thyroid and hormone testing
- Advanced implantation screening
- Embryo quality assessment using time-lapse incubation or genetic testing during IVF
Depending on your results, we may recommend:
- Targeted IVF with genetic testing
- Blood thinners or immune-modulating therapies
- Surgical correction of uterine abnormalities
- Hormonal support during implantation and early pregnancy
Finding Strength in Support
One of the most overlooked aspects of RPL care is emotional healing. That’s why RCA includes:
- Access to fertility counselors and grief specialists
- Personalized care coordinators who stay with you throughout your journey
- Flexible telehealth for privacy and ease
- Multilingual, inclusive support—no matter your background or identity
You are more than your losses. You are a whole person, worthy of answers, compassion, and a path forward.
You Are Not Alone—And This Is Not the End of Your Story
Many of our patients with recurrent miscarriage go on to have healthy, full-term pregnancies. With the right testing, tailored care, and a team that listens, outcomes can—and do—change.
We invite you to begin again with a different kind of care. One that meets you where you are, and walks with you toward the family you’ve been dreaming of.
What Is Recurrent Pregnancy Loss (RPL)?
Recurrent pregnancy loss (RPL) is typically defined as two or more consecutive miscarriages before 20 weeks gestation. While miscarriage is unfortunately common (affecting up to 20% of pregnancies), multiple losses may signal an underlying issue that can—and should—be investigated.
Common Causes of Recurrent Miscarriage
Every case is unique, but here are some of the more common contributors to RPL:
- Genetic factors: Chromosomal abnormalities in the embryo or translocations in one of the parents
- Uterine abnormalities: Septate uterus, fibroids, adhesions, or polyps
- Hormonal imbalances: Uncontrolled thyroid disorders, PCOS, or luteal phase defects
- Autoimmune issues: Conditions like antiphospholipid syndrome (APS) or elevated natural killer cells
- Blood clotting disorders: Thrombophilias that interfere with placental development
- Infections or chronic inflammation
- Lifestyle factors: Smoking, excessive caffeine or alcohol, or poorly managed stress
- Unknown causes: Sadly, up to 50% of RPL cases remain unexplained without deeper investigation
The Emotional Toll—And the Power of Validation
If you've faced miscarriage after miscarriage, you've likely also faced isolation, confusion, and grief. Friends may not understand. Doctors may dismiss it as “bad luck.” You may even start to blame yourself.
At RCA, we reject that narrative. We believe you deserve to be seen, heard, and given the full attention of a team that takes your history seriously. Miscarriage is never your fault. And recurrent miscarriage is never something you should endure without support.
How RCA Approaches Recurrent Pregnancy Loss
Our multidisciplinary team offers a comprehensive RPL evaluation, which may include:
- Genetic testing (parental karyotyping, PGT-A/PGT-M on embryos)
- Uterine imaging (3D saline sonogram, hysteroscopy, MRI if needed)
- Thrombophilia and autoimmune panels
- Thyroid and hormone testing
- Advanced implantation screening
- Embryo quality assessment using time-lapse incubation or genetic testing during IVF
Depending on your results, we may recommend:
- Targeted IVF with genetic testing
- Blood thinners or immune-modulating therapies
- Surgical correction of uterine abnormalities
- Hormonal support during implantation and early pregnancy
Finding Strength in Support
One of the most overlooked aspects of RPL care is emotional healing. That’s why RCA includes:
- Access to fertility counselors and grief specialists
- Personalized care coordinators who stay with you throughout your journey
- Flexible telehealth for privacy and ease
- Multilingual, inclusive support—no matter your background or identity
You are more than your losses. You are a whole person, worthy of answers, compassion, and a path forward.
You Are Not Alone—And This Is Not the End of Your Story
Many of our patients with recurrent miscarriage go on to have healthy, full-term pregnancies. With the right testing, tailored care, and a team that listens, outcomes can—and do—change.
We invite you to begin again with a different kind of care. One that meets you where you are, and walks with you toward the family you’ve been dreaming of.
