Pregnancy Complications
Recurrent Miscarriage
The loss of two or more consecutive pregnancies, requiring thorough investigation to identify treatable causes.
What is Recurrent Miscarriage?
Recurrent miscarriage is defined as the loss of two or more consecutive pregnancies before 24 weeks of gestation. While a single miscarriage is very common (affecting about one in four pregnancies), recurrent loss affects approximately 1–2% of couples and warrants investigation. Causes can include chromosomal factors, uterine abnormalities, hormonal imbalances, clotting disorders, and immunological factors — though in many cases, no specific cause is identified.
Why is it a Concern?
Beyond the physical implications, recurrent miscarriage takes a significant emotional toll. Identifying a treatable cause can dramatically improve the chances of a successful pregnancy. Even when no cause is found, supportive care and monitoring in early pregnancy have been shown to improve outcomes.
Signs & Symptoms
- Two or more consecutive pregnancy losses
- Vaginal bleeding in early pregnancy
- Cramping or abdominal pain
- Loss of pregnancy symptoms
- Previously identified risk factors (known clotting disorder, uterine abnormality, hormonal imbalance)
How It is Monitored
Investigation typically includes blood tests (hormone levels, clotting screen, autoimmune markers, karyotyping of both parents), pelvic ultrasound to assess uterine anatomy, and sometimes hysteroscopy. Once pregnant, early and frequent ultrasound monitoring, progesterone support, and emotional reassurance are key components of care.
Why See an MFM Specialist?
An MFM specialist has expertise in the full range of causes of recurrent pregnancy loss, can coordinate complex investigations, and provides the close early-pregnancy monitoring that has been shown to improve outcomes in subsequent pregnancies.
Dr. Kartik Balaraman Manages This Condition
Dr. Kartik provides thorough investigation and compassionate management for couples experiencing recurrent miscarriage. If you have experienced two or more pregnancy losses, reach out to Dr. Kartik for a consultation.
Book ConsultationFrequently Asked Questions
When should I seek help for recurrent miscarriage?
Investigation is generally recommended after two or more consecutive losses, though some doctors may initiate testing after a single late loss or if other risk factors are present.
Can the cause always be found?
A specific cause is identified in about 50% of cases. Even when no cause is found, the prognosis for a future successful pregnancy is generally good with supportive care.
What are my chances of a successful pregnancy?
Even after three consecutive losses, the majority of women go on to have a successful pregnancy. The prognosis depends on the underlying cause (if identified) and maternal age.
How long should I wait between losses to try again?
Medically, once bleeding has settled and investigations are complete, there is no required waiting period. Emotional readiness varies — Dr. Kartik will support whichever timing feels right.
Does age affect recurrent miscarriage risk?
Yes. The risk of miscarriage increases with maternal age, particularly after 35, mainly due to chromosomal changes in the embryo.
Related Conditions
Blood Clotting Disorders
Conditions that affect blood clotting, increasing the risk of pregnancy complications including blood clots and placental problems.
Autoimmune Conditions
Pregnancy care for women with autoimmune diseases such as lupus, rheumatoid arthritis, or thyroid autoimmunity.
Endometriosis
A condition where tissue similar to the womb lining grows outside the uterus, causing pain and potentially affecting fertility.
Reviewed by Dr. Kartik Balaraman, Consultant OBGYN & Maternal Fetal Medicine Sub-Specialist ·
This page is for general education and does not replace personalised medical advice. If you have concerns about your pregnancy or health, consult a qualified specialist directly.