Recurrent pregnancy loss (RPL), also known as recurrent miscarriage, is a condition characterized by two or more spontaneous pregnancy losses. It is a significant concern, affecting approximately 15% of pregnancies, typically occurring before the 20th week of gestation. In most instances, the loss happens before the 12th week. RPL is also referred to as habitual pregnancy loss, commonly defined as two or three pregnancy losses. If miscarriages occur frequently, it often indicates an underlying issue such as an abnormally shaped uterus, genetic defects, uterine scar tissue, or uterine fibroids. Hormonal imbalances, including thyroid hormone and prolactin, can also result in miscarriage.
Treatment for RPL can encompass a variety of options, including prenatal care, careful monitoring, hormone therapy, surgery, antibiotics, and In Vitro Fertilization (IVF).
To diagnose the causes of recurrent miscarriage, a pelvic exam, medical history review, and several specific tests are necessary. These tests include:
Understanding the causes of recurrent pregnancy loss is crucial for effective treatment and prevention. With the right diagnostic tests and treatments, many women with RPL can go on to have successful pregnancies. For more information, consult with a fertility specialist or visit the American Pregnancy Association website.
