Recurrent pregnancy loss
Testing and specialist support after repeated miscarriage or later pregnancy loss, to explore possible causes and guide what happens next.
Understanding recurrent pregnancy loss
After more than one pregnancy loss, many people want to understand whether there may be an identifiable cause and what it could mean for a future pregnancy. Recurrent pregnancy loss (RPL), also called recurrent miscarriage, means the loss of two or more consecutive pregnancies, typically before 20 weeks.
RPL affects around 2% to 3% of couples trying to conceive. Around 10% to 20% of recognised pregnancies end in miscarriage, although the true figure may be higher because some losses happen before a person knows they are pregnant. Most miscarriages occur in the first 12 to 13 weeks.
A missed miscarriage may cause no noticeable symptoms and can be found during a routine antenatal scan. Once a miscarriage has started, there is generally no medical treatment that can prevent it from continuing.
Recurrent pregnancy loss at a glance
Possible signs of miscarriage
- Vaginal bleeding, from light spotting to heavier bleeding, sometimes with pain
- Cramps or discomfort in the lower abdomen, pelvis, or back
- Passage of fluid or tissue from the vagina
- An unusually fast heartbeat
Who the testing packages are for
- Two or more miscarriages in the first trimester
- One or more losses later in pregnancy
- A family history of clotting or autoimmune disorders
- Unexplained fertility or pregnancy challenges
Why testing may help
- Explore possible causes of miscarriage or second-trimester loss
- Identify treatable conditions that could affect a future pregnancy
- Support informed decisions about future family planning
- Begin physical and emotional recovery with specialist support
When to seek urgent care
If you have heavy bleeding, severe pain, fever, or feel unwell, seek urgent medical care. Online information cannot replace medical advice when you may be experiencing a pregnancy loss.
Recurrent pregnancy loss core testing
Package 1 includes an obstetrics and gynaecology consultation plus:
- Clotting tests: prothrombin time (PT), INR, activated partial thromboplastin time (aPTT), and fibrinogen
- Autoimmune markers: lupus anticoagulant, anticardiolipin, and anti-beta2 glycoprotein
- Hormonal and metabolic markers: TSH, prolactin, HbA1C, and fasting glucose
Price:
- Dubai: AED 1,959
- Abu Dhabi: AED 1,559
Coagulopathy-Plus testing
Package 2 may be recommended if the first test results are inconclusive, if you have experienced a later pregnancy loss, or if you have a family history of thrombophilia. It focuses on inherited clotting and genetic risk factors and includes an obstetrics and gynaecology consultation plus:
- Genetic markers: Factor V Leiden, Prothrombin, PAI-1 mutation, and MTHFR mutation
- Clotting proteins and enzyme levels: Protein C, Protein S, Antithrombin III, and homocysteine
Price:
- Dubai: AED 2,059
- Abu Dhabi: AED 1,759
What happens after testing
If testing identifies a possible cause, your doctor will discuss treatment or prevention options that may be relevant to a future pregnancy.
If results are inconclusive, referral to a genetics specialist is available for further assessment.
Find a facility
Our services
Meet our obstetricians and gynaecologists
Our obstetrics and gynaecology consultants can review your pregnancy history, arrange the testing that is appropriate for you, and explain what the results mean for future care. If the findings remain inconclusive, they can also arrange referral to genetics.