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Navigating The Heartbreak: Understanding Recurrent Pregnancy Loss

Recurrent Pregnancy Loss (RPL) is a devastating experience for couples who long to start a family. It is defined as the loss of two or more consecutive pregnancies before 20 weeks gestation. The emotional impact of RPL can be profound, leaving couples feeling grief, despair, and uncertainty.

Audubon Fertility is a trusted source of support and expertise for couples facing RPL. We offer personalized care, comprehensive testing, and tailored treatment plans to help couples achieve their parenthood goals.

Defining Recurrent Pregnancy Loss

Medical Definition

Medically, RPL is defined as the loss of two or more consecutive pregnancies before 20 weeks gestation. However, some experts define RPL as the loss of three or more consecutive pregnancies.

Causes of RPL

The most common causes of RPL include:

  • Genetic Factors: Chromosomal abnormalities such as translocations in either the mother or father can lead to RPL.

  • Uterine Abnormalities: Abnormalities in the shape or structure of the uterus can interfere with implantation and pregnancy development. Examples include uterine septums, unicornuate or bicornuate uterus, Asherman’s syndrome, and uterine fibroids.

  • Hormonal Imbalances: Hormonal imbalances, such as thyroid problems or diabetes, can also lead to RPL.

  • Autoimmune Disorders: Autoimmune disorders, such as lupus or antiphospholipid syndrome, can cause the body to attack healthy tissue, including the placenta.

  • Aneuploidy: An abnormal chromosome number in the embryo can lead it to miscarry. These are often random effects that can occur when the egg or sperm is forming. This happens more often in eggs as women get older which is why miscarriage rates increase as women increase in age.

  • Other Causes: Other potential causes of RPL include infections, environmental factors, and lifestyle choices.

Emotional Impact

RPL can have a profound emotional impact on couples. Couples may experience a range of emotions, including grief, anger, guilt, and anxiety. They may feel isolated and alone, struggling to cope with their grief and uncertainty.

Potential Treatments

The treatment for RPL will depend on the underlying cause. In some cases, no specific treatment is necessary, and couples are able to achieve a successful pregnancy without intervention. However, in other cases, treatment may be necessary to improve the chances of a successful pregnancy.

Treatment Options May Include:

  • Medications: Medications may be used to correct hormonal imbalances or treat autoimmune disorders. Examples of medications that may help include baby aspirin, lovenox, heparin, or progesterone.

  • Surgery: Surgery may be necessary to correct uterine abnormalities. Examples include hysteroscopy, septum resection, or myomectomy.

  • Assisted Reproductive Technologies (ART): ART procedures, such as in vitro fertilization (IVF), may be recommended for couples who have not been able to achieve a successful pregnancy with other treatments. If the miscarriages are due to a genetic cause, PGT (preimplantation genetic testing) can allow for the selection of a genetically normal embryo which will decrease the miscarriage rate.

The Emotional Landscape of Recurrent Pregnancy Loss

Recurrent pregnancy loss (RPL) is a devastating experience for couples who long to start a family. It is a complex condition with both physical and emotional causes, and the emotional impact can be profound.

Couples experiencing RPL may face a range of emotions, including:

  • Grief: The loss of a pregnancy can be a traumatic experience, and couples may experience a deep sense of grief. They may feel lost, alone, and unsure of how to move forward.

  • Anxiety: Couples who have experienced RPL may feel anxious about future pregnancies. They may worry about losing another baby and may have difficulty feeling excited about a new pregnancy.

  • Guilt: Couples may feel guilty about their RPL, even though it is not their fault. They may blame themselves for the losses or worry that they are somehow inadequate.

  • Anger: Couples may also feel angry about their RPL. They may be angry at God, at the world, or even at themselves.

It is important to remember that all of these emotions are normal and valid. There is no right or wrong way to grieve, and it is important to allow yourself to feel whatever you are feeling.

Understanding The Medical Aspects

When a couple experiences two or more consecutive pregnancy losses, their doctor will typically recommend a series of tests to investigate the underlying cause. These tests may include genetic testing (karyotypes on the patient and her partner), blood tests, imaging tests (pelvic ultrasound), and uterine evaluations (saline infused ultrasound or hysteroscopy).

Once the underlying cause of RPL is identified, the doctor can develop a personalized treatment plan. Treatment options may include medications, surgery, or assisted reproductive technologies (ART).

Compassionate Support

At Audubon Fertility, we understand the emotional and physical toll of RPL. We offer compassionate support and personalized care to help couples navigate this difficult journey.

Empathetic, Personalized Care

Our approach to care is centered around empathy and personalization. We take the time to understand each couple's unique situation and needs. We also provide a safe and supportive environment where couples can ask questions and share their concerns.

Comprehensive Support Services

We offer a wide range of support services to help couples cope with the emotional challenges of RPL. These services include:

  • Counseling: Our experienced counselors can provide individual and couples counseling to help couples cope with grief, anxiety, and other emotions related to RPL.

  • Support Groups: We offer both online and in-person support groups for couples experiencing RPL. These groups provide a safe and supportive space for couples to connect with others who understand what they are going through.

  • Tailored Treatment Options: Our fertility specialists will work with each couple to develop a personalized treatment plan that meets their unique needs and goals.

Emotional Well-Being

We believe that emotional well-being is just as important as medical intervention. That's why we offer a variety of support services to help couples cope with the emotional challenges of RPL.

We understand that RPL can be a devastating experience. We are here to support you every step of the way.

Seeking Help And Finding Hope

If you are experiencing RPL, it is important to seek help from a fertility specialist. Early intervention can improve your chances of a successful pregnancy.

Here are some tips for finding a fertility specialist:

  • Ask your primary care physician for a referral.

  • Get recommendations from friends, family, and other healthcare providers.

  • Look for a fertility specialist who has experience treating RPL.


RPL is a challenging journey, but it is important to remember that you are not alone. Audubon Fertility is here to support you every step of the way.

If you are facing the heartbreak of RPL, please know that you are not alone. There is support available, and there is hope. With the right support and treatment, many couples are able to achieve their parenthood goals.

We encourage you to reach out to us today at Audubon Fertility. We are here to help you navigate this journey and achieve your dreams of parenthood


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