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If you’ve experienced repeated miscarriages, you may be very familiar with an array of emotions: the excitement of possibility, followed by the grief and frustration that come with another loss.

We know how difficult this can be. Even under the most challenging circumstances, we’re here to help and offer hope. Most people who experience recurrent pregnancy loss eventually have successful pregnancies.

What is recurrent miscarriage or recurrent pregnancy loss?

If you’ve been pregnant two or more times (confirmed via ultrasound) and miscarried — this is considered recurrent miscarriage or recurrent pregnancy loss.

What causes recurrent miscarriage?

Miscarriages can be caused by many things, but in isolation are most often due to a genetic abnormality in the embryo. Recurrent miscarriages may have a variety of causes such as structural abnormalities in the uterus, certain blood clotting disorders, infections, diabetes or autoimmune disease. However, an exact cause for recurrent pregnancy loss — in other words, a specific answer to why it happens repeatedly — can be difficult or impossible to determine.

Is recurrent miscarriage considered infertility?

Recurrent miscarriage is not the same as infertility. Infertility is not being able to get pregnant after trying to conceive for a year or longer. With recurrent miscarriage, you’re able to get pregnant, but you experience pregnancy loss two or more times.

Recurrent pregnancy loss increases your risk for having additional miscarriages, so it’s important to speak with your doctor about undergoing testing to identify any abnormalities that may be impacting your ability to carry a healthy pregnancy.

How can I prevent recurrent pregnancy loss?

Treatment plans for preventing future pregnancy losses depend on what is causing the recurrent miscarriages. Your doctor may recommend treating any health conditions (for example, diabetes) that may cause hormonal imbalances in your body, or surgery to fix a structural abnormality in your uterus or cervix (for example, fibroids, endometrial lesions or incompetent cervix). Your doctor may also recommend certain lifestyle changes to reduce your risk of complications, including stopping smoking and reducing your consumption of alcohol.

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Reproductive Endocrinology and Infertility