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Pregnancy Loss and Evaluation Services

IVFIf you have had two or more miscarriages, you should consider a pregnancy loss and evaluation at Fertility CARE to find out about treatment for a possible underlying cause.

Miscarriage is a common experience in 15 percent to 20 percent of confirmed pregnancies.

The Pregnancy Loss Evaluation Service at Fertility CARE offers assistance to couples dealing with Recurrent Pregnancy Loss (RPL).

Pregnancy Loss Evaluation Service (PLES)

The team at PLES is made up of board certified physicians in the specialty fields of reproductive endocrinology and infertility, and maternal fetal medicine. The PLES staff works in conjunction with your obstetrician/gynecologist to manage your care and make recommendations as needed for fetal monitoring during pregnancy. This team works together to determine the most appropriate treatment for each patient.

RPL is one of the most frustrating problems in the medical field for both physicians and patients. Although not explained in 40% of patients, RPL can be treated when a cause is discovered. Additionally, a cost-effective evaluation based on test results can help patients avoid unproven treatments that may have significant health risks. Studies show that more couples succeed in achieving a healthy pregnancy when they have a supportive health care team monitoring their progress.

Dr. Trolice Discusses Pregnancy Loss

Recurrent Pregnancy Loss Facts

holding-hands-1031665_640Miscarriage, the loss of a pregnancy during the first 20 weeks, affects about 15% of women at some point in their lifetime. Of all diagnosed conceptions, approximately 50% do not continue before they even implant in the uterine cavity.

Most first trimester miscarriages are caused by random chromosomal errors that occur in the first stages of growth. Other frequent causes of miscarriage include:

  • Inheritable genetic problem in the male or female
  • Uterine anatomic abnormality
  • Hormonal disorder
  • Autoimmune disorder

Although a fetal heartbeat after 8 weeks is reassuring, RPL patients are still at higher risks of miscarriage than the general population. Therefore, an extensive evaluation and comprehensive treatment plan are crucial to a successful outcome.

Miscarriage is usually a random event, not a sign of an ongoing reproductive problem. If you have had one miscarriage, your chances for future successful pregnancies are good.

Risk and Myths of Pregnancy Loss

There’s a lot of confusing information about pregnancy loss causes and risk factors, learn the facts about what causes a pregnancy loss and understand fact from myth:

Risks

  • Your or family history of recurrent miscarriage
  • Cigarette smoking
  • Increasing age
  • A poorly controlled chronic disease (such as diabetes)
  • Exposure to certain chemicals
  • High caffeine use
  • Antiphospholipid syndrome
  • Some bacterial and viral infections during pregnancy
  • Cocaine use
  • Uterus Structure
  • Polycystic ovary syndrome
  • A previous child with abnormalities or defects

Myths

  • Emotional state or a sudden fright
  • Sexual intercourse
  • Diet
  • Exercise
  • Exposure to computer monitors
  • The use of electric blankets or heated water beds
  • Working or lifting heavy objects
  • A fall or a blow to the abdomen
  • Miscarriages signal infertility

Frequently Asked Questions

couple-437987_1920What is recurrent pregnancy loss?

Two to three consecutive spontaneous miscarriages before 20 weeks gestation.

What causes a couple to have recurrent pregnancy loss?

In miscarriages, several issues may be involved and if not treated, they may result in recurrent miscarriage. Structural issues with the uterus like a septum or fibroid are treatable problems that may be removed surgically. Hormonal related imbalances like thyroid disease that may be treated medically. There have been links in recurrent miscarriage and blood clotting disorders, very few women will actually test positive for a blood clotting disorder. 

What testing can be done for recurrent pregnancy loss?

Testing will be tailored around each individual couple and their history. In general, testing includes a uterine cavity evaluation and blood tests screening for ovarian reserve, hormonal imbalances, genetic issues (balanced translocation), and antiphopholipid syndrome (an immune issue associated with miscarriage).

What kind of treatment is available for recurrent pregnancy loss?

The results of the evaluation will determine your treatment options. Treatment will be medical if a hormonal issue is during testing. Treatment will be surgical if a structural defect is discovered in the uterus.

The IVF Center – Why Fertility CARE is Unique

Dr. Trolice and the team supporting Breast Cancer Awareness month.

Dr. Trolice and the team supporting Breast Cancer Awareness month.

At Fertility CARE we recognize the process of IVF can at times be overwhelming.

To address this issue, we have an IVF Nurse available 24/7 to answer questions, guide you through the process, and provide emotional support. We also offer a Reproductive Health Psychologist to help couples develop their best coping strategies along their journey.

Success of the IVF Program at Fertility CARE is due to our scientific and technological excellence coupled with our compassionate and highly personalized approach to patient care.

Fertility CARE is committed to each couple’s success by providing individualized and supportive care along the way. We consider each couple part of our family as we attempt to help them create their own.

What our Patients are Saying

“From day one the entire staff has gone above and beyond. I’m so thankful for Dr. T. Today I get to hold my baby boy in my arms thanks to these wonderful people.”

Fertility CARE Patient, Facebook Review

“We can’t thank Dr. Trolice and Fertility CARE enough for this compassion and expert care. when we felt lost from misinformation from other doctors, Dr. Trolice guided us and gave us hope again.”

Fertility CARE Patient, RateMds.com Review

“Dr. Trolice is Outstanding, his staff are one of the best group of people I have ever met working together as a team. There was never a wait time. Dr. Trolice and his staff care! He is amazing.”

Fertility CARE Patient, Vitals.com Review

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