Recurrent Pregnancy Loss

Understanding Recurrent Pregnancy Loss

Recurrent pregnancy loss is generally defined as two or more consecutive pregnancy losses before 20 weeks of gestation. It affects approximately 1–2% of couples trying to conceive. While the experience can be deeply distressing, a thorough evaluation can often identify contributing factors and guide effective management.

Possible Causes

Recurrent pregnancy loss can result from a range of factors:

• Genetic factors — Chromosomal abnormalities in either parent or in the embryo
• Uterine abnormalities — Structural issues such as fibroids, polyps, septum or adhesions
• Hormonal factors — Thyroid disorders, diabetes, or progesterone insufficiency
• Thrombophilia — Blood clotting disorders that may affect placental blood flow
• Immunological factors — Conditions affecting immune tolerance in pregnancy
• Lifestyle and environmental factors — Smoking, excessive alcohol, significant stress
• Unexplained — In many cases, no single cause is identified, but outcomes can still be positive

Our Approach

Dr Kirshenbaum understands the emotional weight of pregnancy loss and provides care that is both clinically thorough and personally sensitive:

1. Compassionate initial consultation — Time to share your experience and have your concerns heard
2. Systematic investigation — A structured evaluation to identify potential contributing factors
3. Clear communication — Explaining findings and what they mean for your future pregnancies
4. Personalised management plan — Tailored strategies to optimise your chances in future pregnancies
5. Early pregnancy support — Close monitoring and reassurance in subsequent pregnancies

Investigations May Include

• Parental karyotyping (chromosome analysis)
• Uterine imaging (ultrasound, saline infusion sonography, hysteroscopy)
• Thyroid function and metabolic screening
• Thrombophilia screen
• Hormonal assessment
• Immunological testing where appropriate