Recurrent Miscarriages: Causes, Diagnosis, and Hope for Future Pregnancy

Experiencing a miscarriage can be heartbreaking. But going through two or more consecutive pregnancy losses—known as recurrent miscarriage or recurrent pregnancy loss (RPL)—can be emotionally devastating and medically concerning. If you or someone you know is facing this painful journey, it’s important to know that you are not alone, and there is hope.

As a compassionate gynaecologist, Dr. Sayali Gadre helps many women who have struggled with recurrent miscarriages in Solapur.

What is Recurrent Miscarriage?

Recurrent miscarriage is typically defined as two or more consecutive pregnancy losses before 20 weeks of gestation. It can occur due to a range of reasons—some identifiable, some not—but in many cases, timely diagnosis and treatment can significantly improve outcomes.

Common Causes of Recurrent Miscarriages

Understanding the causes is the first step toward effective treatment. The causes of recurrent miscarriage can be broadly classified into the following categories:

1. Genetic Factors

• Chromosomal abnormalities in either parent (balanced translocations)
  
• Aneuploidy (abnormal number of chromosomes in the embryo)
  
• These genetic issues may result in embryos that cannot develop normally, leading to early loss.
  

2. Hormonal Imbalances

• Thyroid disorders (especially hypothyroidism or autoimmune thyroiditis)
  
• Uncontrolled diabetes mellitus
  
• Polycystic Ovary Syndrome (PCOS) leading to elevated insulin and androgens
  
• Luteal phase defect – inadequate progesterone to support early pregnancy
  

3. Uterine or Anatomical Issues

• Uterine septum or bicornuate uterus (congenital defects)
  
• Fibroids or polyps that distort the uterine cavity
  
• Intrauterine adhesions (Asherman’s syndrome)
  
• Cervical insufficiency (weak cervical muscles that dilate prematurely)
  

4. Autoimmune Disorders

• Antiphospholipid Syndrome (APS) – a major cause of miscarriages due to abnormal clotting
  
• Systemic lupus erythematosus (SLE)
  
• Autoimmune responses that may attack the pregnancy
  

5. Infections

• Chronic endometritis (inflammation of the uterine lining)
  
• TORCH infections (Toxoplasmosis, Rubella, Cytomegalovirus, Herpes)
  
• Bacterial vaginosis and other reproductive tract infections
  

6. Lifestyle & Environmental Factors

• Smoking, alcohol consumption, or illicit drugs
  
• Excessive caffeine
  
• Obesity or being underweight
  
• High stress levels and poor mental health
  
• Exposure to toxins, radiation, or harmful chemicals
  

When Should You Consult a Gynaecologist?

While one miscarriage is not uncommon and often doesn’t signal an underlying issue, two or more consecutive miscarriages warrant a thorough evaluation.

Book an appointment with a gynaecologist if:

• You’ve had 2 or more pregnancy losses
  
• You have irregular periods, PCOS, or thyroid problems
  
• You are over 35 and have experienced a miscarriage
  
• You have a personal or family history of autoimmune or clotting disorders
  
• You experience pain or abnormal bleeding between cycles or pregnancies
  

 Book a consultation now with Dr. Sayali Gadre in Solapur

What Diagnostic Tests Are Done for Recurrent Miscarriages?

A comprehensive approach includes a combination of physical examination, medical history, and a range of diagnostic tests:

Hormonal and Blood Tests

• Thyroid Profile (TSH, T3, T4, Anti-TPO antibodies)
  
• Blood Sugar and Insulin Resistance tests
  
• Progesterone levels
  
• Prolactin levels
  

Genetic Testing

• Karyotyping (for both partners)
  
• Preimplantation genetic testing (PGT) for IVF cases
  

Autoimmune Testing

• Antiphospholipid antibodies (Lupus anticoagulant, Anti-cardiolipin)
  
• ANA (Antinuclear Antibody) test
  

Uterine Imaging

• Transvaginal ultrasound
  
• Hysterosalpingography (HSG)
  
• Saline Infusion Sonography (SIS)
  
• Hysteroscopy (direct visualization of the uterine cavity)
  

Infection Screening

• TORCH panel
  
• Vaginal and cervical cultures
  

What Are the Treatment Options for Recurrent Pregnancy Loss?

Treatment is individualized based on the cause. In many cases, effective medical or surgical treatments are available.

1. For Hormonal Imbalances

• Thyroid medications to stabilize hormone levels
  
• Progesterone supplementation
  
• Diabetes and PCOS management through lifestyle, medication, or Metformin
  

2. For Genetic Causes

• Genetic counselling
  
• IVF with preimplantation genetic testing (PGT-A / PGT-M)
  
• Use of donor sperm or eggs (in rare cases)
  

3. For Uterine Anomalies

• Surgical correction (e.g., hysteroscopic septum resection)
  
• Myomectomy to remove fibroids
  
• Cervical cerclage in cervical incompetence cases
  

4. For Autoimmune Conditions

• Low-dose aspirin and heparin for APS
  
• Immunosuppressive treatment (for SLE under specialist care)
  

5. For Infections

• Targeted antibiotics or antiviral medications
  
• Treatment of underlying inflammation
  

6. Lifestyle Modifications

• Weight loss or gain as required
  
• Stress management and mental health support
  
• Avoidance of alcohol, smoking, and other harmful exposures
  

Hope for Future Pregnancy: Reassurance and Real Stories

While recurrent pregnancy loss can feel like an emotional rollercoaster, remember:

• Over 65% of women with recurrent miscarriages go on to have a successful pregnancy after proper treatment and support.
  
• Early intervention, consistent follow-ups, and customized treatment can make a big difference.
  
• Emotional and psychological support is just as important as medical treatment.
  

At Yashodhara Super Speciality Hospital, Solapur, Dr. Sayali Gadre has helped countless women overcome recurrent miscarriages and fulfill their dream of motherhood.

When to Act?

If you’ve faced 2 or more miscarriages, don’t delay seeking help. Every pregnancy is different—and with the right care, your next one could be a healthy one.

Visit Dr. Sayali Gadre for Recurrent Miscarriages Care in Solapur

Dr. Sayali Gadre
Consultant Obstetrician & Gynaecologist
Yashodhara Super Speciality Hospital, Solapur

Call: 8652832999

Locations:
Shraddha Nursing Home

2016/1A, South Sadar Bazar, Gandhinagar, Solapur – 413003

Yashodhara Super Speciality Hospital
Unit 2: S.No. 102, Near Market Yard, Hyderabad Road, Old Vidi Gharkul, Solapur – 413005

Final Thoughts

Recurrent pregnancy loss may feel isolating and confusing—but it’s more common than you think, and help is available. Don’t wait until your hope fades. Early diagnosis, emotional support, and expert care can change the course of your reproductive journey.

If you’re in or around Solapur and looking for a compassionate gynaecologist who specializes in recurrent miscarriages, schedule your consultation today.