Recurrent Pregnancy Loss

Book a Recurrent Pregnancy Loss Consultation. Call or WhatsApp +91 9560026697. Speak directly with Dr. Lekhi's team to schedule.

"Two losses used to mean 'wait for a third before we investigate.' That's no longer the standard, and I think the change matters. Couples shouldn't have to go through a third loss just to start getting answers. The other thing I want patients to understand: even with a full workup, a clear cause isn't found in every case. That isn't a failure of testing. It's the current limit of what we know." — Dr. Anshika Lekhi

What Counts as Recurrent Pregnancy Loss Now?

Two or more confirmed pregnancy losses before 22 weeks. That is recurrent pregnancy loss. The losses do not have to be back to back anymore either. The older rule asked for three consecutive losses before 20 weeks. That rule is gone. So we investigate after the second loss. Not the third.

How is This Different From Recurrent Implantation Failure?

People mix these two up all the time. They are not the same. Recurrent pregnancy loss means the pregnancy was confirmed. A positive hCG at the very least, and then lost. Recurrent implantation failure is a different thing. There the embryo never became a confirmed pregnancy at all, usually during IVF. Some of the tests overlap. The diagnosis does not. Treat them the same, and you get the wrong workup.

What Causes Recurrent Pregnancy Loss?

There is no single cause, and honestly, in a lot of couples we find more than one. We look at all of these:

• Embryonic chromosomal abnormality: The commonest one. It gets more likely as parents get older, and we find it by testing the pregnancy tissue, not by guessing.
  
• Parental chromosomal rearrangements: One partner quietly carries a balanced translocation. Their own health is fine. Passed to an embryo in an unbalanced form, it causes loss.
  
• Antiphospholipid syndrome: An autoimmune clotting problem. Positive antibodies on two occasions at least 12 weeks apart before we call it confirmed.
  
• Uterine issues: Septum, polyps, fibroids, and scar tissue inside the cavity. Ultrasound alone misses these, so we look directly.
  
• Thyroid: Untreated hypothyroidism raises miscarriage risk, and we treat subclinical hypothyroidism once TSH crosses the line. Thyroid antibodies alone, with normal thyroid function, we leave alone.
  
• Idiopathic: No cause found even after everything. It happens more than people expect, and it does not mean nothing can be done.

What Does a Recurrent Pregnancy Loss Workup Involve?

We do not run every test on everyone. We run the ones your history points to:

• Genetic testing of the pregnancy tissue: From the second loss onwards, wherever we can get the tissue. Modern methods pick up what the old ones missed.
  
• Antiphospholipid antibodies: Especially after a loss past 10 weeks, a past clot, or losses with no clear reason. Positively once, we repeat it 12 or more weeks later before it counts.
  
• Thyroid: A TSH, treated if it crosses the miscarriage-risk threshold.
  
• Uterine cavity check: Hysteroscopy or a detailed scan, mainly for the unexplained couples.
  
• Parental karyotype: Not for everyone. We add it when your risk factors or the tissue results point that way.

Is Treatment Available If No Cause Is Found?

Here we will be blunt, because this is where a lot of money gets wasted in this city. For confirmed antiphospholipid syndrome, we use aspirin with heparin. It works, and the evidence is solid. Everything else that gets marketed for "unexplained" loss, we do not give. Aspirin on its own, steroids, extra heparin, IVIG drips, and Intralipid infusions. The whole "immune support" package. None of it is proven for unexplained recurrent loss, and we will not sell it to you.

So what do we actually do when the workup is clean? We tell you the truth. For most couples with genuinely unexplained recurrent loss, the odds of a healthy pregnancy next time, with no extra treatment at all, are high. That is worth hearing plainly. It beats being pushed into unproven add-ons because you are scared and in a hurry, which anyone in your position would be.

What Does Recurrent Pregnancy Loss Workup Cost in Gurgaon?

Genetic testing of pregnancy tissue is usually ₹12,000–₹18,500. Parental karyotyping, when we recommend it, is roughly ₹7,500–₹11,000 per partner. Thyroid and antiphospholipid blood panels are standard lab tests, a few thousand rupees combined. Hysteroscopy for the uterine cavity follows the same pricing as on our recurrent IVF failure page, generally ₹15,000–₹60,000, depending on whether we correct something in the same sitting.

Recurrent pregnancy loss has several possible causes, and not every test or treatment applies to every patient. This page is informational and isn't a substitute for evaluation by Dr. Lekhi.

Why Choose TheFertilife for Recurrent Pregnancy Loss in Gurgaon?

• The Fertilife explores recurrent pregnancy loss (usually two or more losses in a row) as a separate work-up from the normal fertility work-up — the causes of recurrent pregnancy loss are different, and the emotional burden is different, and therefore it requires a different approach than a fertility consult.
  
• Evaluation is for all known causes — chromosomal (from either partner or the pregnancy tissue itself), uterine (fibroids, polyps, and septum), hormonal, thyroid, clotting and immunological.
  
• If a particular cause is found, treatment is directed at that cause directly – surgical correction of structural problems, medication if it is a clotting or hormonal problem, and genetic counselling if it is a chromosomal problem.
  
• Where there is no obvious cause, even after a full work-up, that is communicated honestly and not left ambiguous – patients are informed of prognosis and options, as unexplained recurrent loss has meaningfully different outcomes based on history and age.
  
• Dr. Anshika Lekhi (MBBS, DGO) manages every case of recurrent pregnancy loss personally and has 13+ years of experience with IVF and repeated IVF failure cases, working up every loss as a data point towards a cause and not a difficult event to be moved past.

Ready for an Evidence-Based Evaluation?

A focused workup, aimed at what actually helps, is the real next step. Not a long list of tests and treatments handed to everyone regardless of whether they need them.

Book a Recurrent Pregnancy Loss Consultation. Call or WhatsApp +91 73037 08364. No referral needed. Speak directly with Dr. Lekhi's team to schedule.