The recurrent pregnancy loss clinic at Fertility PLUS has been running for over six years now. In this clinic we apply an evidence-based approach to treatment and will try to establish as quickly as possible if there is any underlying reason for a couple experiencing recurrent pregnancy losses (RPL).
Who should be referred?
Women can be seen in the RPL clinic if they are:
- Under 40 years of age
- Have had >3 consecutive first trimester pregnancy losses or >2 consecutive second trimester losses.
There are a number of investigations that your GP can arrange before you are seen that will allow us to provide answers for you more quickly.
- Parental karyotypes
- Activated protein C resistance
- Anticardiolipin antibodies
- Lupus anticoagulant
- Day 2 FSH and estradiol
- Thyroid function tests
Non-pregnant pelvic ultrasound
Our approach to treatment
Following a clinic review and appropriate investigation the management of each couple is individualised depending on the cause of their pregnancy losses. In just over half the couples that we see no specific cause is found, so called "unexplained" RPL. In these couples, attention to lifestyle factors and early pregnancy support and monitoring through the first trimester of the next pregnancy is offered. The chances of a successful pregnancy with these measures is ~70%. Couples where an underlying cause for their RPL is found, will be offered specific treatment to help improve their chances of a live birth in the future.