One miscarriage is heartbreaking. A second, or a third, can leave you feeling frightened, exhausted and alone, as if something must be terribly wrong with your body. Many couples in Vizag quietly carry this grief, often while relatives keep asking "when is the good news?"
If you are living through recurrent miscarriage, please know this first: it is not your fault, it is a recognised medical condition, and there are clear, sensible steps doctors can take to look for a cause and support your next pregnancy.
Quick answer: Recurrent miscarriage (also called recurrent pregnancy loss) usually means two or more pregnancy losses. Doctors look for causes such as chromosome changes, problems with the shape of the womb, clotting conditions like antiphospholipid syndrome, and hormonal issues like thyroid disease or diabetes. Often no single cause is found, yet, as ACOG notes, the chance of a successful next pregnancy is still good.
A miscarriage is the loss of a pregnancy before the baby can survive outside the womb. Definitions of "recurrent" vary slightly between professional bodies:
ACOG notes that fewer than 5 in 100 women have two miscarriages in a row. So while miscarriage itself is common, repeated loss is less common and deserves a proper, unhurried evaluation.
Please remember
When couples search for repeated miscarriage causes, they often find long, frightening lists. In reality, doctors focus on a handful of well-understood areas. ACOG lists these as the main factors to check.
Most single miscarriages are caused by a random error in the baby's chromosomes. In a small number of couples with repeated loss, one partner carries a balanced rearrangement of their chromosomes (a "translocation"). The parent is healthy, but some pregnancies may receive an unbalanced set of genes.
Some women are born with a wall of tissue inside the womb (a uterine septum). Others develop fibroids, polyps or scarring inside the womb (Asherman syndrome), for example after past procedures or infection. These can sometimes affect how a pregnancy implants and grows.
APS is an autoimmune condition in which the body makes antibodies that increase the tendency of blood to clot, including in the placenta. It is one of the recognised, treatable causes of recurrent loss.
Thyroid problems, poorly controlled diabetes and polycystic ovary syndrome (PCOS) are linked with pregnancy loss. If you already live with one of these, our guide on how PCOS and thyroid problems affect fertility (padmasrihospitalsandivfcentre.com/how-pcos-and-thyroid-problems-affect-fertility.php) explains how they connect. Lifestyle factors such as smoking and alcohol are also worth addressing for both partners.
This is the part many couples find hardest to hear. ACOG notes that in more than half of couples with recurrent pregnancy loss, no clear cause is found. That does not mean nothing can be done. It means no treatable problem was found - and ACOG also notes that, even then, the chance of a successful next pregnancy is good.
Recurrent miscarriage testing is a step-by-step process. Not every couple needs every test; your doctor chooses based on your history.
| Area checked | Common tests | Why it is done |
|---|---|---|
| Medical history | Detailed questions for both partners, physical and pelvic examination | Gives clues and guides which tests are needed |
| Blood clotting | Antiphospholipid antibody tests (repeated weeks apart) | To diagnose antiphospholipid syndrome |
| Hormones and metabolism | Thyroid function, blood sugar and other tests as needed | Thyroid disease and diabetes can be treated before pregnancy |
| Genetics | Chromosome tests (karyotype) for both partners; testing of pregnancy tissue when available | To look for a translocation or chromosome errors |
| Womb (uterus) | Ultrasound (often 3D), saline sonohysterography, hysteroscopy | To find a septum, fibroids, polyps or scarring |
Testing can feel overwhelming, so ask your doctor to explain why each test is being done and what the result will change. You deserve to understand your own care.
Recurrent miscarriage treatment depends entirely on what, if anything, is found. Some examples, based on international guidance:
Please be cautious of anyone who promotes unproven injections, supplements or treatments that promise a result for recurrent loss. Good care is based on evidence and honest conversations, never on pressure.
Repeated loss affects far more than the body. Many women describe guilt, anxiety in every new pregnancy, and a sense of isolation when friends and relatives announce pregnancies. Partners often feel helpless and may hide their own sadness to "stay strong".
In many Indian families, well-meaning relatives give advice, rituals or blame. It is okay to set gentle boundaries. You can simply say that you are under a doctor's care and would prefer not to discuss details. Your health information belongs to you.
Feeling anxious in the next pregnancy is completely normal. A care team that knows your history, answers your calls and explains every scan can make those early weeks far easier to bear.
Key takeaways
At Padmasri Hospitals & IVF Centre in Akkayyapalem, our fertility services (padmasrihospitalsandivfcentre.com/fertility-services/) team can guide evaluation for both partners, and our high-risk pregnancy care (padmasrihospitalsandivfcentre.com/high-risk-pregnancy.php) supports closer monitoring once you conceive.
You do not have to have every answer before you walk in. Bring your old reports, scan results and discharge summaries if you have them, and we will start from where you are.
Call +91 80083 36677 or contact page. Padmasri Hospitals & IVF Centre, 49-48-16/5, NH16, NGGOS Colony, Akkayyapalem, Visakhapatnam, Andhra Pradesh 530016. If you have heavy bleeding or severe pain in pregnancy, go to the nearest hospital or call 108.
ACOG and ESHRE describe recurrent pregnancy loss as two or more miscarriages. The RCOG uses three or more first-trimester losses but notes that doctors may start tests after two. If you have had two losses, it is reasonable to ask your doctor about an evaluation.
Random chromosome errors in the pregnancy cause about half of all miscarriages. For repeated loss, doctors also check for womb shape problems, antiphospholipid syndrome, thyroid disease, diabetes and parental chromosome changes. In more than half of couples, no single cause is found.
Yes, evaluation involves both partners. A chromosome test (karyotype) for both partners may be advised, and lifestyle factors such as smoking and alcohol matter for both.
Many couples do. ACOG notes that even when no cause is found, the chance of a successful next pregnancy is good. Treating any cause that is found and planning early monitoring can help.
This depends on your physical recovery, any tests that are planned and how you both feel emotionally. Talk to your doctor before trying again, especially after more than one loss, so any needed tests can be done first.
Written by Padmasri Hospitals & IVF Centre Editorial Team · Updated 26 October 2026
This article is for general information and does not replace a consultation with a qualified doctor.