What should you know about two missed miscarriages?

A missed miscarriage is a pregnancy loss in which the pregnancy has stopped developing but bleeding or other warning symptoms may not have started. It may also be called a silent or delayed miscarriage. Two losses deserve a personalised assessment, but they do not by themselves identify one definite cause or predict what will happen in a future pregnancy.

A clinician may review your pregnancy history, symptoms, medicines, long-term health conditions, and family history. Assessment can include an examination, ultrasound, and blood tests when appropriate. The purpose is to confirm the diagnosis and look for factors that could affect pregnancy, such as problems involving the uterus, hormones, blood clotting, chromosomes, or general health. Sometimes no clear explanation is found.

Arrange an appointment with a gynaecologist or pregnancy-loss specialist. Bring dates and records from both pregnancies, scan reports, a medicine list, and details of any medical conditions. Ask which tests are useful in your situation and whether you should wait before trying to conceive again.

If pregnancy tissue remains in the uterus, your clinician may discuss waiting for it to pass, medicines to help the process, or a procedure. The choice depends on your symptoms, scan findings, health, and preferences. Read about [Medical Management of Miscarriage](/treatments/medical-gynaecology/medical-management-of-miscarriage/) and [Surgical Management of Miscarriage](/treatments/gynaecological-surgery/surgical-management-of-miscarriage/) before discussing options.

Grief after pregnancy loss can affect sleep, concentration, relationships, and mood. Support from a trusted person, counsellor, or pregnancy-loss service can help; seeking emotional support is appropriate even when physical recovery is uncomplicated.

Get urgent medical help for heavy or rapidly increasing bleeding, severe or one-sided abdominal pain, fainting, marked dizziness, fever, chills, or vaginal discharge with a strong unpleasant smell. These symptoms can signal significant blood loss, infection, or another pregnancy-related emergency. If you feel unsafe or overwhelmed by grief, contact an urgent mental-health service or emergency care.

Useful questions include: How was the diagnosis confirmed? Which investigations fit my history? Could any current medicine or health condition affect pregnancy? What are my options if tissue remains? When can I try again, and what early follow-up would you recommend?