The Psychological Impact of RPL
A pregnancy loss or ‘miscarriage’ can have a significant emotional impact on a couple. It’s common to feel a sense of significant loss and emotional upset after a miscarriage. It is important to know that you aren’t alone as unfortunately, on average 15% of pregnancies end in a miscarriage with the risk further increasing with age.
Recurrent pregnancy loss (RPL) is generally defined as having had at least three or more clinical pregnancy losses prior to 20 weeks’ gestation. RPL affects ~ 5% of couples and becomes more prevalent with increasing female age. Causes of RPL can include uterine, genetic, endocrine or immunological abnormalities.
Treating RPL
At your initial consultation your physician and team will review your health information and discuss the investigations recommended to help determine if there is any underlying cause contributing to a higher risk of pregnancy loss. Some potential investigations include saline sonohysterogram for uterine anatomy assessment, antiphospholipid antibody testing, endocrine hormones, parental karyotype genetic testing. At follow up appointments your physician will review results with you. Based on your specific results, your physician will discuss whether there are any treatment options or recommendations that might help decrease the risk of another pregnancy loss. More than 50% of the time RPL is unexplained after available testing, however typically this means prognosis is still very good for a successful outcome in the future.