Dedicated workup and personalised plan for recurrent pregnancy loss, recurrent implantation failure and unexplained early loss — autoimmune, thrombophilia, uterine and genetic factors.
Two miscarriages is enough to start asking why. Three is too many to leave unexplained. Our pregnancy loss clinic is built around the conviction that 'unexplained' is usually 'incompletely investigated' — and that the workup, done properly, gives most couples either an answer or a meaningful plan.
About 50% of recurrent losses get a clear answer with thorough workup — uterine septum, balanced translocation, antiphospholipid syndrome, hypothyroidism, undiagnosed diabetes. The remaining 50% have a 60–70% chance of a successful next pregnancy with supportive care alone, which is genuinely good news worth holding on to.
What we don't do is over-treat with unproven immune therapies — intralipid infusions, IVIG, steroids and tacrolimus all have a place, but only in carefully selected patients with clear immune findings. Empirical use without indication has no evidence of benefit and meaningful risks.
RIF — typically defined as failure to conceive after transfer of three or more good-quality embryos — needs a structured re-evaluation rather than another transfer. We assess uterine cavity (3D scan, hysteroscopy), endometrial receptivity (ERA), immune profile, thrombophilia, sperm DFI, and embryo quality (consider PGT-A). Often the answer is a combination — a small polyp, a slightly displaced window of implantation, and a high-DFI partner — each contributing to the failures.
When you do conceive again, the first 12 weeks are the hardest emotionally. We schedule weekly early scans, monitor beta-hCG and progesterone, continue any indicated medications (low-dose aspirin, LMWH, progesterone) and stay accessible. At the end of the first trimester we hand you over to a high-risk obstetric team we trust, with full continuity of records.
Pregnancy loss is a grief that is often invisible to friends and extended family. We don't ask anyone to 'move on'. Our perinatal psychologist works alongside the medical team and is offered, not imposed, at every stage. Couples counselling is also available where the loss has affected the relationship.
No — start the workup as soon as you feel ready. There's no medical benefit to delaying, and a clear plan often helps emotionally.
Yes. We work with a perinatal psychologist on-site — pregnancy loss has emotional weight that deserves dedicated support.
Usually not — about 15% of recognised pregnancies end in miscarriage, and a single loss is most often a one-off chromosomal event. We do investigate after one if the loss was second-trimester or if there are other risk factors.
45-minute consultation, booked directly with Dr. Sana on WhatsApp. She consults at Apollo Fertility, Hyderabad. No referral needed.