Introduction
One miscarriage is hard enough. A second, or a third, brings — confusion, fear, and the same question circling back each time: why is this happening to me?
At Althea Women's Health, we know that question deserves further looking into. This article walks through what recurrent miscarriage actually means, the most common reasons behind it, and how our screening — blood tests paired with 3D ultrasound — can help you get some clarity.
What Causes Recurrent Miscarriage?
There's rarely a single explanation, which is exactly why we test from several angles rather than just one.
Blood clotting disorders. Antiphospholipid syndrome and inherited thrombophilias can disrupt blood flow to the developing placenta, raising the risk of loss.
Hormonal imbalances. An underactive or overactive thyroid, raised prolactin, or other hormonal irregularities can all make it harder for a pregnancy to be sustained.
Structural issues in the uterus. A septum, fibroids, or polyps can interfere with implantation or growth — and these are often invisible without detailed imaging.
Immune system factors. In some women, immune responses appear to play a role in recurrent loss, although the science here is still evolving.
Chromosomal factors. Occasionally, a chromosomal variation in one partner contributes to repeated losses.
Unexplained causes. And sometimes, even after thorough investigation, no clear cause emerges. That's a genuinely difficult thing to hear, but it doesn't mean there's no way forward — plenty of women in this exact position go on to have healthy pregnancies.
How Is Recurrent Miscarriage Investigated?
Our screening at Althea Women's Health brings together two approaches that complement each other, so nothing important gets missed.
Specialist blood tests look for the clotting disorders, hormonal imbalances, and immune markers most often linked to pregnancy loss — including antiphospholipid syndrome, thrombophilia screening, thyroid function, and prolactin.
3D ultrasound scanning gives our specialists a far clearer view of your uterus than a standard scan allows, picking up structural issues like a septum, fibroids, or polyps that could be contributing. It's painless, non-invasive, and usually wrapped up in a single visit.
What Happens After Testing?
Once everything is back, you arrange a consultation with one of our specialists for a detailed discussion. We'll talk you through what your results actually mean in plain terms. If we've found a cause, we'll go over the treatment or management options open to you. If nothing specific turns up, we'll be honest about that too, and talk through where that leaves you — because either way, you should leave with a plan, not just more unanswered questions.
You Don't Have to Navigate This Alone
Recurrent miscarriage can feel isolating in a way that's hard to put into words. It doesn't have to stay that way. Getting the right tests and discussing the results can change everything about how you move forward.
If you've experienced two or more miscarriages, our specialist screening could be the next step toward the answers you've been looking for.
Book your recurrent miscarriage screening consultation with Althea Women's Health today.
This article is for general informational purposes and does not replace personalised medical advice. Please speak with one of our specialists about your individual circumstances.