Recurrent miscarriage means two or more consecutive losses, and it rarely has a single cause. Genetics leads the list, as chromosomal errors in the embryo account for many early losses. Uterine issues like a septum, fibroids, or scarring can disrupt implantation, while hormonal factors such as thyroid imbalance, diabetes, or PCOD also contribute. Some women have an immune or clotting condition, most commonly antiphospholipid syndrome. In nearly half of cases no clear cause is found, though that does not mean nothing can be done.
According to Dr. Bhoomika Jain, an experienced gynecologist in Marine Lines, “Even when the cause stays unexplained, structured testing and close monitoring in the next pregnancy improve the odds far more than most couples expect.”
What are the main causes of recurrent miscarriage?
They sort into a few broad groups. Often, more than one is at work.
Genetic: Chromosomal abnormalities in the embryo top the list, the early losses in particular. Occasionally a parent carries a genetic factor that feeds into it too.
Uterine: A septum, fibroids, polyps, old scarring. Anything structural that disrupts implantation, and the good news is most of it can be corrected once found.
Hormonal: Thyroid trouble, diabetes that isn’t controlled, PCOD. These shift the balance a pregnancy needs, and they tend to respond well to treatment.
Immune and clotting: Something like antiphospholipid syndrome raises clotting risk, which can starve the placenta and end the pregnancy.
Pinning down the cause is the real first step, and the right infertility treatment is shaped entirely around what the testing shows.
When should you seek evaluation?
Timing counts for a lot here. Waiting it out rarely helps.
After two losses: Most specialists suggest a full workup once there’ve been two in a row, rather than holding on for a third.
Before trying again: Test ahead of the next pregnancy and any treatable cause gets handled in advance. Not scrambled at mid-term.
With known conditions: Already dealing with thyroid issues, PCOD, or fibroids? Then earlier evaluation just makes sense, the risk is higher.
For peace of mind: Even when nothing definite shows up, a proper workup clears the serious causes off the table and points toward closer monitoring.
Where something structural like fibroids is involved, understanding whether fibroids always need surgery first can make carrying a pregnancy to term far more likely.
Why Choose Dr. Bhoomika Jain?
Dr. Bhoomika Jain is an Obstetrician, Gynaecologist, and IVF Specialist with over nine years of experience and a Fellowship in Assisted Reproductive Techniques from KEM Hospital, Mumbai. She has supported many women through recurrent loss towards successful pregnancies.
The approach is thorough, never rushed. Every possible cause is investigated properly, and where a reason surfaces, it’s treated before the next attempt. Even the unexplained cases get a clear plan and close watching, not just reassurance.
Facing repeated losses and looking for real answers?
FAQs
Q1: Does IVF success drop with age?
Yes, IVF success declines with age, dropping notably after 35 and more sharply past 40.
Q2: Can multiple IVF cycles improve success?
Yes, cumulative success over two or three cycles is higher than a single attempt.
Q3: Do donor eggs raise IVF success?
Donor eggs often improve success for older women, as egg quality is the key factor.
Q4: What affects IVF success besides age?
Egg and sperm quality, embryo health, uterine lining, and lab standards all affect outcomes.