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Recurrent Pregnancy Loss Evaluation And Treatment

If you’ve experienced pregnancy loss, you are not alone. An evaluation with one of our compassionate specialists can help you find answers—and a path forward.

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What is recurrent miscarriage?

Losing a pregnancy more than once before 20 weeks is considered recurrent miscarriage or early pregnancy loss. Miscarriages can happen for a myriad of reasons and are very common, more common as women get older. However, that doesn’t make each individual experience any less emotionally painful. We’re here to help you determine what may be the cause and take your next steps.

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"The two hour drive to his office and two hour drive back home was way worth it to us. Dr. Kalan never gave up on us and told us that we would get pregnant. With his expertise, he gave us a protocol that would finally make our frozen transfer work!"

Recurrent Pregnancy Loss patients

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How recurrent miscarriage evaluation and treatment works

We will begin by discussing and testing you for the most common potential causes of recurrent miscarriage. The most common cause of RPL is “unexplained,” meaning that no diagnosis can be made after an evaluation is completed. Some causes may include:


  • Chromosomal or genetic abnormalities in one or both partners
  • Structural issues in the uterus such as fibroids, polyps, scar tissue, or a band of tissue called a septum
  • Untreated medical conditions such as thyroid disease, diabetes, and immune system or blood-clotting issues

Many of these tests will involve bloodwork or an ultrasound. Your team will be there to keep you informed through the whole testing process and will be ready to talk about next steps once you have some answers.


While recurrent miscarriage is common, its treatment is highly personal. After testing your doctor will determine which treatments are best for your needs. There may only be one treatment needed or a layering of treatments to address underlying fertility issues.


Recurrent miscarriage treatments could include:


  • Hormone supplementation
  • Hysteroscopic surgery to alleviate structural issues in the uterus
  • If a chromosomal abnormality is found, you may be a candidate for IVF along with preimplantation genetic testing (PGT) to select chromosomally normal embryos to transfer
  • IVF with genetic testing of embryos may be a successful treatment for unexplained recurrent miscarriage

Regardless of whether the testing reveals the root cause of your recurrent miscarriages or it remains unexplained, we are here to carefully monitor and support your next pregnancy and help give you the best possible chance of carrying to term.

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Is recurrent miscarriage evaluation and treatment right for me?

If you’ve had 2 or more miscarriages, you are a candidate for a recurrent pregnancy loss evaluation. Through the evaluation process your team will determine which fertility treatment is best for your unique needs.

A tulip breaking out of an egg.

"Dr. Winkler advised us to have hope, and we did. We decided to continue, and the next month we were blessed with a transfer that ended up sticking. We are 13 weeks pregnant today!"

Recurrent Pregnancy Loss patients

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Paying for your recurrent miscarriage evaluation and treatment

Though coverage for fertility care varies widely by insurance plan, the good news is that you have options. We are committed to guiding you through your insurance benefits, out-of-pocket expenses, and other financing options every step of the way. With Los Angeles Reproductive Center you will never be in the dark about cost.

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Your next chapter starts here. We’re here to help you write it.

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You’ve got questions, we’ve got answers.

If you’ve experienced two or more early pregnancy losses, you are a candidate for recurrent miscarriage testing. Though these are painful experiences to endure, you are not alone. Recurrent miscarriage is frequently treated at Los Angeles Reproductive Center, and our compassionate doctors are ready to discuss your testing options.

If no recurrent issues are found during testing, careful monitoring and support of the next pregnancy may help avoid another miscarriage and result in the birth of a healthy baby. If you have unexplained recurrent pregnancy losses, you may be a candidate for IVF with genetic testing of embryos.

The vast majority of miscarriages occur during the first trimester of pregnancy, before 12 weeks. Between 14 and 20 weeks, miscarriage rates drop to 2-3%.