Infertility and Recurrent Miscarriage
Infertility and Recurrent Miscarriage: Understanding the Emotional and Medical Journey
Dr Janani Saravanan MBBS,DNB,MRCOG
1/20/20261 min read


Experiencing multiple miscarriages can be one of the most painful and confusing journeys for a couple. Along with emotional distress, repeated pregnancy loss often raises concerns about infertility and the ability to carry a pregnancy successfully. It is important to understand that recurrent miscarriage is not uncommon, and in many cases, a cause can be identified and treated.
Recurrent miscarriage is usually defined as two or more consecutive pregnancy losses. It does not always mean that a couple cannot conceive, but it may indicate difficulty in sustaining a pregnancy. Several factors can contribute to this, including genetic abnormalities in the embryo, hormonal imbalances such as thyroid disorders or inadequate progesterone levels, uterine structural problems like fibroids or uterine anomalies, and immune or blood clotting disorders. Lifestyle factors such as smoking, excessive caffeine intake, obesity, and chronic stress can also play a role.
For couples facing repeated miscarriages, a detailed evaluation is essential. This may include genetic testing for both partners, blood tests to assess hormones and clotting factors, ultrasound or hysteroscopy to examine the uterus, and screening for chronic medical conditions. Identifying the underlying cause helps guide appropriate treatment and improves the chances of a successful pregnancy.
Beyond medical care, emotional support is equally important. Recurrent pregnancy loss can lead to feelings of guilt, anxiety, and isolation. Open communication between partners, counseling, and support groups can help couples cope with grief and uncertainty.
The most important message is hope. Many couples with a history of multiple miscarriages go on to have healthy pregnancies with proper evaluation, treatment, and monitoring. Seeking timely medical advice, addressing both physical and emotional health, and staying informed can make a significant difference on the path to parenthood
