What should you know about two missed miscarriages in a row?

With a missed miscarriage, pregnancy development has stopped while the body may not yet have passed the tissue. Having losses in succession can feel frightening and may prompt a recurrent-loss assessment. A review can consider embryo chromosome changes, uterine shape or scarring, thyroid or other metabolic conditions, and selected clotting or immune concerns. Many investigations do not identify one explanation. Nothing you did during ordinary daily life should be assumed to have caused the losses.

Contact an obstetrician, gynaecologist or early-pregnancy clinic and bring your scan reports, discharge notes and medicine list. Your clinician may offer blood tests, ultrasound of the uterus, or other testing based on your history. For the confirmed miscarriage itself, choices can include waiting, medication or a procedure. You can compare [Medical Management of Miscarriage](/treatments/medical-gynaecology/medical-management-of-miscarriage/) with [Surgical Management of Miscarriage](/treatments/gynaecological-surgery/surgical-management-of-miscarriage/) during shared decision-making.

Go to urgent care if bleeding is heavy, pain is severe or one-sided, you faint, feel very dizzy, develop a fever, notice shoulder-tip pain, or feel acutely unwell. Prompt assessment matters because these signs may reflect blood loss, infection or a pregnancy outside the uterus.

Ask which investigations fit your circumstances, whether tissue or genetic testing could be useful, how long to wait before trying again, and whether early scans or blood tests would be planned. Request emotional support if grief, anxiety or sleep problems are affecting daily life.