What is the first treatment for recurrent miscarriage?

Recurrent miscarriage can have different explanations, and sometimes no clear cause is found. Assessment may review previous pregnancies, medical conditions, medicines, family history and the shape of the uterus. Tests can include genetic evaluation for one or both partners, blood tests and an ultrasound. Operative hysteroscopy may be considered when a uterine cavity problem needs direct treatment. The result guides care rather than assuming one therapy fits every pregnancy.

Ask for referral to a clinician experienced in recurrent pregnancy loss and take records from previous pregnancies, scans and laboratory tests. Review thyroid disease, diabetes, blood pressure, medicines, smoking and alcohol with the team before trying again. If a specific inherited condition is identified, genetic counselling can explain reproductive choices; genetic carrier screening and PGT-M may be relevant in selected families. Do not start aspirin, hormones or anticoagulants without a clinician's advice.

During a pregnancy, seek urgent help for heavy bleeding, severe or one-sided pain, dizziness, fainting, fever or shoulder-tip pain. These symptoms can signal miscarriage, infection or ectopic pregnancy and need prompt assessment. Emotional distress after loss also deserves timely support, especially if sleep, eating or safety are affected.

Ask which tests are appropriate, whether the uterus needs imaging, whether either partner should have genetic assessment, and how findings would change planning for a future pregnancy.