Recurrent Pregnancy Loss

Each time it happens, it becomes more and more difficult to process. You try to pick yourself up and keep telling yourself that it is all going to work out. It can all work out next time.

Early pregnancy loss can be extremely torturous – feeling euphoric upon learning you are pregnant and then feeling defeated when you know that the nursery will again not be filled.

At Virginia Fertility Associates in Richmond, Virginia, we understand how challenging and emotional this time can be for you and your family. That is why we are here to help. We want to see our patients carry out successful, long-term pregnancies so that families can be complete.

Our fertility experts offer the latest procedures, technology, and the best practices to ensure that we can help you achieve what was once impossible—a newborn baby.

The Virginia Fertility Associates difference

Early pregnancy loss is not uncommon. 15% to 20% of all pregnancies are lost in the early stages. As maternal and paternal ages advance to 40 years old and up, the rate of loss can be as high as 40%

In addition, with each subsequent pregnancy loss, the risk of losing the next pregnancy increases.

5% of couples trying to conceive experience two or more consecutive miscarriages. And 1% of couples experience 3 or more miscarriages, according to the American Congress of Obstetricians and Gynecologists(ACOG).

At Virginia Fertility Associates, we can identify the causes of repeated miscarriages and create a plan that helps to address your specific needs. We perform a full evaluation of the most common causes of repeated pregnancy loss and customize your treatments.

Some of the reasons for recurrent pregnancy loss include:

Genetics – 60% of early pregnancy loss is due to random genetic abnormalities.  Sometimes genetic errors occur in a fetus. We search for the possible cause of the abnormality and work to address it. PGD and PGS will be offered.

Anatomical – abnormalities in the uterus can lead to recurrent miscarriage. If abnormalities are found within the anatomical structure, reproductive surgery can  help.

Hormonal – hormonal imbalances, such as a progesterone deficiency, are common causes of pregnancy loss. Hypothyroidism can affect the ability to carry a pregnancy.  40% of women with recurrent pregnancy loss have Polycystic Ovarian Syndrome. Hormone therapies can help increase the chances of becoming pregnant and maintaining a pregnancy. With our experts, you will receive detailed treatments that will best serve you.

Immunological causes along with Thrombophilia – there are certain conditions that make women more susceptible to blood clots. We perform a series of blood tests to identify these issues, and treat them.

Lifestyle Factors– smoking, stress, alcohol and drug use negatively impact the ability to get and maintain a pregnancy. Creating a healthy lifestyle for yourself provides your fetus with the best possible environment to grow and develop.

This is a partial list of causes. In 60% of couples we can reveal the underlying cause. Unfortunately, in 40% we cannot identify the cause. The good news is that even in this last group, about 65% of the couples end up with a successful pregnancy with supervision and good old-fashioned TLC. The Virginia Fertility Associates can help.

You do not need to wait until you have lost 2 or 3 pregnancies to seek medical help. With the growth of genetic testing, you can learn more about your losses, and maybe how to prevent them. Get help when you are concerned, especially if you are over age 35.

If you or someone you know has been struggling with pregnancy loss, please do not hesitate to contact our team of doctors and specialists. We will work with you to develop the best treatment plan for your specific needs. We also conduct a thorough examination and work-up to learn more about your reproductive health.