Experiencing the loss of a pregnancy is heartbreaking and when it happens more than once, the emotional toll can feel overwhelming. Recurrent Pregnancy Loss (RPL) affects many individuals and couples trying to grow their families, and while it can be misunderstood or overlooked, it deserves careful attention and compassionate fertility treatment.

What Is Recurrent Pregnancy Loss?

Recurrent Pregnancy Loss is defined as three or more consecutive pregnancy losses. It can occur even if you’ve previously had one or more successful pregnancies. While some people assume Recurrent Pregnancy Loss (RPL) and infertility are separate conditions, they can often be connected, and both may stem from similar underlying reproductive issues. Multiple pregnancy losses signal the need for a closer look at what might be going on beneath the surface. At Piedmont Reproductive Endocrinology Group (PREG), we recommend seeking an evaluation with our fertility clinic after two pregnancy losses, rather than waiting for a third.

What Can Cause Recurrent Pregnancy Loss?

There are many reasons why pregnancy loss may occur more than once, and understanding the possibilities can be a helpful first step. The good news is that some of these factors are manageable and even treatable. Even when a clear cause isn’t identified, successful outcomes are still very possible with the expert care at Piedmont Reproductive Endocrinology Group (PREG). During your evaluation, our fertility specialist will explore key areas to help identify potential factors and guide your personalized treatment plan, such as:

• Chromosomal Variations: Sometimes, embryos develop with too many or too few chromosomes, often due to natural, random events during egg or sperm formation. This can happen to anyone. The likelihood can increase slightly with age, but it doesn’t mean pregnancy isn’t possible.
• Uterine Differences: The shape or structure of the uterus, such as the presence of fibroids, scar tissue, or a uterine septum, may make it more difficult for an embryo to implant or grow. These are evaluated and, if needed, can sometimes be treated to improve chances of success.
• Hormonal or Endocrine Imbalances: Conditions like PCOS, thyroid issues, or diabetes can affect the hormonal balance needed to support early pregnancy. With proper management and fertility care, individuals with these conditions go on to have healthy pregnancies.
• Blood Clotting Conditions: Some individuals have clotting tendencies that can affect how the placenta functions. If detected, treatments like blood thinners can be helpful in supporting future pregnancies.
• Immune-Related Factors: While still an area of ongoing research, some immune system responses may play a role in pregnancy loss. Your PREG fertility clinic near you can help determine whether further testing is right for you.
• Lifestyle and Environmental Considerations: Things like smoking, high alcohol intake, unmanaged stress, and certain exposures may impact fertility. Small lifestyle changes can make a big difference, and we’re here to support you in making those adjustments if needed.

The Emotional Impact of Recurrent Pregnancy Loss (RPL)

Recurrent Pregnancy Loss (RPL) is not only a physical health concern, it’s an emotional journey that can involve grief, anxiety, fear, and even guilt. Just remember: miscarriage is never your fault. You are not alone. Our dedicated team truly understands how deeply personal this journey is and offers a caring, safe space for healing and hope.

What Are the Next Steps After a Pregnancy Loss?

If you’ve experienced two or more pregnancy losses, we encourage you to connect with a PREG fertility clinic near you. Our reproductive endocrinologists will start with a thorough review of your medical history, followed by testing and diagnostics. Once testing is complete, we’ll discuss the findings with you in detail and create a custom fertility treatment plan based on your unique needs and goals.

Fertility Treatment for Recurrent Pregnancy Loss

No two fertility journeys are the same. Your medical history, age, lifestyle, and past experiences all play a role in determining the right approach for you. At Piedmont Reproductive Endocrinology Group (PREG), your fertility doctor will partner with you to understand the full picture and help you decide on the best path forward.

Recurrent pregnancy loss can feel like an isolating experience, but you don’t have to navigate it alone. We’re here to offer answers, guidance, and the latest in evidence-based fertility treatments. With empathy and unwavering support, we’ll walk this road with you toward a successful and healthy pregnancy. If you’re ready to explore your options, contact us to schedule an evaluation at one of our six convenient fertility clinics across the Carolinas.