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Early Miscarriage Specialist

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).

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