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Recurrent Pregnancy Loss Specialist

Carolyn Kaplan, MD -  - Reproductive Endocrinologist

Reproductive Endocrinology and Infertility Group

Carolyn Kaplan, MD

Reproductive Endocrinologist & Gynecologist located in Atlanta, GA

Experiencing a miscarriage is a heartbreaking experience, but when it happens repeatedly, it can be devastating for women and their partners. Carolyn Kaplan, MD, of Reproductive Endocrinology and Infertility Group in Atlanta, is an experienced gynecologist and an expert in the specialty of reproductive endocrinology, and she understands the pain of recurrent pregnancy loss. Find out how Dr. Kaplan can help you through this difficult time and bring hope for the future by calling the clinic today, or booking an appointment online.

Recurrent Pregnancy Loss

What is recurrent pregnancy loss?

Recurrent pregnancy loss means having two or more consecutive miscarriages before the fetus reaches its 20th week. In the United States, recurrent pregnancy loss (RPL) affects up to 5% of pregnant women, meaning that there could be as many as 200,000 couples in America affected by RPL every year.

What causes recurrent pregnancy loss?

There are numerous potential causes of recurrent pregnancy loss, and Dr. Kaplan has extensive experience in diagnosing and treating the causes of RPL, even those that are more unusual. Possible causes of RPL include:

  • Genetic abnormalities in the parents
  • Anatomic abnormalities in the uterine cavity
  • Fibroids
  • Congenital abnormalities
  • Asherman’s syndrome (scarring in the uterus)
  • Insufficient dietary folate and high homocysteine
  • Advanced reproductive age (women over 35)
  • Polycystic ovarian syndrome (PCOS)
  • Autoimmune illnesses, e.g. lupus, rheumatoid arthritis, and thyroid dysfunction
  • Diabetes and other endocrine disorders
  • Alloimmune disorders, in which the mother’s immune system attacks the fetus
  • Endometrial conditions including luteal phase defect (LPD)
  • Exposure to toxins such as ionizing radiation, mercury, lead, and alcohol
  • Thrombophilic disorders (excessive blood clotting)
  • Significant, persistent, abnormal sperm morphology (irregular shape)
  • Tuberculosis
  • High-stress levels

Around half the couples experiencing repeated pregnancy loss aren’t able to find a definite cause. Studies into the problem of unexplained RPL suggest that these couples are experiencing recurring embryonic aneuploidy, where the fetus develops with genetic abnormalities that they can’t survive.

What is the treatment for repeated pregnancy loss?

The treatment for RPL depends upon the cause, so accurate diagnosis is essential. Dr. Kaplan is an accomplished diagnostician, and every year she helps many couples find the cause of their repeated pregnancy loss.

Resolution of the underlying cause is the goal of Dr. Kaplan’s treatment recommendations, so for example, if polycystic ovarian syndrome is causing RPL, then weight loss, nutritional changes, exercise, and dietary supplementation are the best ways to treat the PCOS and thereby minimize the chances of another miscarriage.

Counseling is an essential part of the process, as having repeated miscarriages is understandably a devastating experience. Genetic counseling is also used to help people affected by genetic causes of repeated pregnancy loss.

An Endometrial Function Test can use molecular markers to assess the endometrium's potential to support implantation and the endometrium’s ability to contribute to the nutrition of the developing embryo.

If you are struggling with repeated pregnancy loss, Dr. Kaplan can give you the compassionate care you need and help you recover from your trauma. Call Reproductive Endocrinology and Infertility Group today, or book an appointment online.