Reproductive Pearls: Recurrent Pregnancy Loss

Posted January 6, 2016 by Claire

Recurrent pregnancy loss (RPL) is distinct from infertility, and some confusion generally surrounds the appropriate work-up for these patients. Here, we try to provide a simple guide to help you evaluate your patients suffering from RPL. Who to evaluate? Couples who have experienced 2 or more first trimester pregnancy losses. Classically, this excludes biochemical losses—evaluation is recommended for those with pregnancies reaching the 5-6th week gestation and/or recognized on ultrasound What to evaluate? The causes of RPL include anatomic, endocrine, autoimmune, genetic, and ovarian factors. Anatomic: 3D ultrasound and/or sonohysterogram are used to evaluate for a uterine septum, other congenital  Read more »