We specialize in high-risk pregnancy.
We work to minimize complications and help you achieve the healthiest pregnancy possible.
Recurrent Miscarriage
Recurrent Miscarriage
Our practice addresses both the emotional and medical aspects of recurrent pregnancy loss. We listen carefully to your concerns and review your complete medical history. Then we develop a plan tailored to your health needs, goals, and timeline.
Understanding Recurrent Pregnancy Loss
Recurrent pregnancy loss refers to two or more consecutive miscarriages. This experience can feel overwhelming, but many patients go on to have healthy pregnancies with the right care and guidance. Our specialists assess potential causes and create a personalized treatment plan. Careful monitoring and targeted therapies can improve outcomes and help you move forward with greater confidence.
Possible Causes of Recurrent Pregnancy Loss
Several medical factors may contribute to repeated miscarriages. Our evaluation focuses on identifying the cause so we can guide treatment in a focused and practical way. Common causes include:
- Genetic factors
Chromosomal abnormalities in the embryo frequently lead to early pregnancy loss. Testing may identify genetic concerns in one or both parents.
- Hormonal imbalances
Thyroid disorders, uncontrolled diabetes, or low progesterone levels can affect early pregnancy development.
- Uterine abnormalities
Structural concerns such as fibroids, uterine septum, or scar tissue may interfere with implantation or growth.
- Immune and clotting disorders
Conditions such as antiphospholipid syndrome and certain clotting disorders may increase miscarriage risk.
- Lifestyle and environmental factors
Smoking, substance use, or high stress levels may contribute to pregnancy complications. Our team at Rosh Maternal & Fetal Medicine reviews all possible causes and recommends testing based on your history and needs. How We Treat Recurrent Pregnancy Loss Personalized care plays a central role in managing recurrent pregnancy loss. Our specialists design treatment plans according to your diagnosis and overall health profile. Treatment options may include:
- Medical therapy
Hormone support or medications may help address underlying conditions.
- Surgical correction
Procedures can correct uterine abnormalities such as fibroids or structural differences.
- Genetic counseling
Specialists may recommend genetic testing or counseling to guide future pregnancy planning.
- Close pregnancy monitoring
Early ultrasounds, lab testing, and frequent visits help track progress and address concerns quickly.
Meet Our Doctors
- Dr. Daniel F. Roshan, MD, FACOG, FACS
Dr. Roshan leads Rosh Maternal & Fetal Medicine and specializes in high-risk obstetrics, recurrent pregnancy loss, and advanced prenatal care. Years of experience and advanced training allow our team to manage complex cases with precision and compassion.
Awards and Certifications
Patients trust our team because of recognized certifications, specialized education, and affiliations with respected medical centers.
- Board-certified in Obstetrics and Gynecology
- Fellowship-trained in Maternal-Fetal Medicine
- Hospital affiliations with leading New York medical centers
Patient Testimonial
Patients come to us during one of the most emotional times in their lives. Their experiences highlight the compassionate care, careful attention, and personalized guidance they receive throughout their journey. Read on to learn about their experiences:
Guidance and Support for Your Next Pregnancy
Recurrent pregnancy loss can feel isolating, but many patients achieve successful pregnancies with the right medical plan. Our team at Rosh Maternal & Fetal Medicine listens carefully, investigates possible causes, and builds a treatment path tailored to your needs. If you have experienced repeated miscarriages, contact our office to schedule a consultation and learn about your options.
Disclaimer:
This content is for general educational purposes only and is not medical advice. You should contact your healthcare provider before making decisions about your health or pregnancy.
Compassionate Care After Pregnancy Loss
Discover advanced evaluation and personalized treatment plans for patients facing recurrent pregnancy loss. We work closely with you to find answers and guide your next steps. Learn More
Recurrent Miscarriage Q & A
Q.
What is recurrent miscarriage?
A.
Recurrent miscarriage exists in women who have two or more miscarriages. Miscarriage is defined as the loss of a pregnancy before 20 weeks.
Early pregnancy loss is common, as it happens in about 10-20% of known pregnancies, but women should consider getting a thorough examination and specialized testing if they have three miscarriages.
Q.
What causes recurrent miscarriage?
A.
Most miscarriages occur due to abnormal genes or chromosomes that stop the fetus from normal growth and development. It’s important to know that these abnormal genes do not come from an inherited health condition.
About half of all miscarriages are associated with extra or missing chromosomes that happen by chance during fertilization. One common chromosomal cause, called translocation, occurs when separate chromosomes swap small segments, creating an abnormal area on each chromosome.
A variety of other conditions may cause repeated miscarriage. Abnormalities in the uterus — congenital problems that affect the structure of the uterus, uterine fibroids, polyps, and adhesions — are all associated with miscarriage.
Medical conditions can also increase the risk of miscarriage. Diabetes, polycystic ovary syndrome, hypothyroidism, and an autoimmune disorder called antiphospholipid syndrome represent some of the top medical causes. In some cases, problems with the blood supply in the placenta lead to recurrent miscarriage.
Q.
How is recurrent miscarriage managed?
A.
The most important step in helping you overcome recurrent miscarriage is getting to the source of the problem. Your doctor at Rosh Maternal & Fetal Medicine begins with a review of your medical history, a thorough physical exam, diverse blood tests for hormones and health conditions, and ultrasound to view the structure of your uterus.
Your treatment could include medication for hormone imbalances or minimally-invasive surgery to correct problems in your reproductive organs. You may undergo hysteroscopy, which allows your doctor to examine tissues inside the uterus, remove polyps and fibroids, and correct structural abnormalities.
When an underlying health condition isn’t identified as the cause, your doctor may recommend genetic screening and testing. Should a chromosomal abnormality be found, the certified genetic counselor at Rosh Maternal & Fetal Medicine will talk with you about the type of abnormality, the chance of it affecting future pregnancies, and your options, such as in vitro fertilization.
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