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1. Types of Specialists

• Obstetrician / Gynecologist (OB-GYN)
  First point of care. Manages miscarriage diagnosis, medical or surgical treatment, and initial evaluation.
• Reproductive Endocrinologist (Fertility Specialist)
  Helps if you’ve had two or more miscarriages (recurrent pregnancy loss). They look at egg/sperm health, hormones, and IVF options if needed.
• Maternal–Fetal Medicine Specialist (MFM)
  High-risk pregnancy expert. Especially important if you have conditions like diabetes, thyroid disease, high blood pressure, or autoimmune disorders.
• Genetic Counselor
  Provides testing and counseling if miscarriages may be linked to chromosomal or inherited issues.

2. What They Investigate

• Genetic factors: Chromosomal abnormalities in embryo or parents.
• Hormonal issues: Thyroid disease, PCOS, progesterone deficiency.
• Uterine abnormalities: Fibroids, uterine septum, scar tissue.
• Immune or blood clotting disorders: Antiphospholipid syndrome, thrombophilia.
• Lifestyle factors: Smoking, alcohol, obesity, or uncontrolled medical conditions.

3. Possible Treatments

• Hormonal support (e.g., progesterone, thyroid medication).
• Blood thinners (aspirin, heparin) if clotting issues are found.
• Surgical correction of uterine abnormalities (fibroid removal, septum resection).
• Lifestyle optimization: Nutrition, stress reduction, weight management, and avoiding toxins.
• Close monitoring: Early ultrasounds and blood work in future pregnancies for reassurance and intervention.

4. When to See a Specialist

• After two or more miscarriages in a row.
• If you are over 35 and experiencing difficulty sustaining pregnancy.
• If you have a known medical condition that increases risk (thyroid disease, diabetes, lupus, clotting disorders).