Recurrent Pregnancy Loss and Its Management
Understanding Recurrent Pregnancy Loss
Recurrent pregnancy loss (RPL) is defined as experiencing two or more consecutive miscarriages. It is an emotionally and physically challenging condition that affects many women and couples worldwide.
At our clinic, Dr. Padma Bharathi Pathi, a Consultant Gynaecologist with over 30 years of international experience, provides comprehensive evaluation, diagnosis, and management for women experiencing RPL, ensuring compassionate care and evidence-based treatment.
Causes of Recurrent Pregnancy Loss
Recurrent pregnancy loss can result from multiple underlying factors, including:
- Genetic or chromosomal abnormalities in the parents or embryo
- Hormonal imbalances, including thyroid disorders or luteal phase defects
- Structural issues of the uterus, such as septum, fibroids, or adhesions
- Immune system disorders affecting implantation
- Blood clotting disorders (thrombophilia)
- Lifestyle factors including stress, smoking, and excessive alcohol use
A thorough evaluation is essential to determine the cause and provide targeted treatment.
Symptoms to Recognize
While the main indicator is repeated miscarriages, women may also experience:
- Spotting or bleeding during early pregnancy
- Pelvic pain during or after miscarriage
- Emotional distress, anxiety, or depression related to pregnancy loss
Dr. Padma Bharathi Pathi provides a structured and personalized approach to managing recurrent pregnancy loss:
Comprehensive Assessment
- Detailed medical and reproductive history review
- Hormonal and blood investigations
- Genetic and chromosomal testing for parents or embryos
- Imaging studies like ultrasound or hysteroscopy to examine uterine structure
Medical Management
- Hormonal treatments such as progesterone supplementation
- Management of underlying conditions like thyroid disorders or diabetes
- Immune or clotting disorder management to improve implantation and pregnancy maintenance
Surgical Management
- Hysteroscopic procedures to correct uterine anomalies, fibroids, or adhesions
- Minimally invasive surgeries for structural corrections affecting fertility
Preconception Counselling and Support
- Guidance on lifestyle modifications, diet, and stress management
- Advice on optimal timing and planning for conception
- Emotional support and counseling for couples navigating RPL
30+ years of experience in obstetrics and gynaecology across the UK, India, and UAE
Expertise in advanced surgical and medical interventions for RPL
Patient-centered care, ensuring both physical and emotional support
Proven track record in helping women achieve successful pregnancies