The medical definition of recurrent pregnancy loss (RPL), sometimes referred to as recurrent miscarriage, is the occurrence of three or more consecutive pregnancy losses before 20 weeks of pregnancy.
At NewLife Fertility, we work with patients who have a history of two or more consecutive pregnancy losses in the first trimester, or any pregnancy loss after 15 weeks gestation
First Appointment
We need to know your situation better. At your first appointment, we’ll take a complete medical history for you and your partner, if you have one. This will include an evaluation of any known genetic, hormonal or anatomic causes of recurrent pregnancy loss. This visit is covered by OHIP.
Testing Phase
We will do our own medical evaluation, including a clinical assessment and further testing that may include but is not limited to:
– Hormonal testing
– Endometrial lining evaluation
– Coagulation and immune testing
– Pre-implantation genetic screening (PGS)
Counseling
In addition to medical interventions, the program provides support and counseling by professionals with specific expertise in reproductive issues. These counselors are well trained to provide couples and individuals the support they need as well as the opportunity to work through the psychological issues inherent in this specific challenge.
Follow up with MD
Your doctor will review your test results with you and recommend an individualized treatment plan that may involve one or more of the following:
1. Monitoring
If your treatment plan involves trying to conceive naturally, you will have a pregnancy test to confirm this. If you are pregnant, your doctor and their team will work closely with you to monitor your early pregnancy. You will continue to be followed beyond your first trimester.
2. Re-Evaluation
If your pregnancy test is negative, you and your physician will re-evaluate your treatment plan. This could include a more detailed fertility evaluation and alternative treatments such as Cycle monitoring and IVF.