After repeated miscarriage — why it happens and what can be done 

Losing a pregnancy more than once warrants a structured assessment rather than repeated advice to “try again.” Recurrent miscarriage can often be investigated, and in some cases a treatable cause is found.

What counts — and when to look

Recurrent pregnancy loss usually means two or more consecutive miscarriages. After two, it is reasonable to stop being told to simply try again and start asking why. Investigation will not always find a single answer — but often enough it does, and that answer changes what happens next.

The causes worth ruling out

Several treatable factors sit behind a meaningful share of cases: hormonal and thyroid issues; the shape of the uterus, or fibroids and polyps distorting the cavity; blood-clotting conditions such as antiphospholipid syndrome; and chromosomal factors in one partner. A structured work-up — bloods, a detailed scan, sometimes a look inside the uterus — is how those are found.

What can actually be done

When a cause is found, treatment may include correcting a hormone or thyroid problem, a keyhole procedure to treat an abnormality of the uterine cavity, or specific medication during pregnancy for a clotting disorder. Where genetics are involved, testing embryos before transfer may help. Even when no single cause is found, close monitoring in the next pregnancy can help identify and address problems early.

Recurrent loss deserves a structured investigation. The first step is a careful review of your history and the appropriate tests.