Woman with head propped up on hand, looking away from woman sitting across from her

Recurrent Miscarriage

Miscarriages can be devastating, leaving couples feeling confused and hopeless about their future. 

At Heartland Center for Reproduction in Omaha, NE, we understand how frustrating miscarriages can be, especially if they are recurrent.

Our fertility specialists can determine the underlying cause of your recurrent miscarriages and provide compassionate, dedicated care...

Contact Heartland Center for Reproduction for Your Initial Consultation

Recurrent miscarriages can be painful and disappointing. But with the help of our knowledgeable fertility specialists in Lincoln and Omaha, NE, you can overcome your individual infertility issues and take the first steps towards parenthood. When you visit our center, you can expect:

  • Compassionate service
  • Undivided attention
  • World-class care

Heartland Center for Reproduction is equipped with the tools and treatment options to help you move past the trauma of miscarriage and grow your family. For more information, request a consultation online or call our practice:

(877) 831-3227

"They Patiently Answered All of Our Questions"


Sara Cooper


Google logo

Our family is beyond thankful for everything Heartland has done for us over the last 9 months. They have been such a blessing to us! Without them, we’d have likely given up on the dream of growing our family. We always felt heard, known, and always received the most thorough explanation of any and all treatments, lab work, and scans. We felt very involved every step of the way. The positivity that radiates in this office cannot be beat. We’re so glad that we’ve trusted Dr. Gustin and her team to steer us in the right direction.

View on Google

Becky Rothfuss


Google logo

We can’t thank Dr. Elizabeth Constance and the staff at Heartland enough! We did IVF and are 29 weeks pregnant with a baby boy! The IVF process can be hard emotionally, physically and financially but they patiently answered all of our questions and made sure we were informed before every procedure.

View On Google

Miscarriages & Recurrent Pregnancy Loss: When Should You Consult with a Doctor?

Many women are hesitant to speak about miscarriages, but they are devastatingly common. According to the American Pregnancy Association, "10-25 percent of all clinically recognized pregnancies will end in miscarriage."

A miscarriage is any pregnancy that involuntarily ends on its own during the first 20 weeks. When a woman suffers two or more involuntary pregnancy losses before they reach 20 weeks, it is called a recurrent miscarriage. According to the American College of Obstetricians and Gynecologists (ACOG), one percent of women will suffer recurrent pregnancy losses in their lifetime

The ACOG recommends scheduling an evaluation after three recurrent miscarriages to determine the underlying cause.

What Causes Recurrent Miscarriages?

Abnormal Chromosomal Activity

The most common cause of miscarriages is abnormal chromosomal activity during fertilization. This can happen randomly, although there is an increased risk that comes with age. 

Physiological Conditions

Certain physiological conditions can lead to recurrent pregnancy loss. For example, a septate uterus divided in two by a wall of tissue can create an inhospitable environment for the embryo. Another condition known as Asherman Syndrome can lead to scarring in the uterus and rejection of the embryo before a woman even realizes she is pregnant. Other physical conditions including fibroids and polyps have also been linked to recurrent miscarriages. These abnormalities can limit blood supply to the pregnancy or cause dangerous inflammation. 

Preexisting Medical Conditions

According to the National Center for Biotechnology Information, autoimmune disorders can increase the risk of complications and failed pregnancy. Additionally, thyroid disease and diabetes have been linked to an increased risk of miscarriage. 


As you age, your reproductive function and fertility also decrease. This can lead to decreased egg quality and medical conditions that can place your pregnancy at risk.

Polycystic Ovarian Syndrome

Polycystic ovarian syndrome, also known as PCOS, can disrupt your menstrual cycle and ovarian function. Although women with PCOS can still become pregnant, the condition can make it more difficult. 


Endometriosis is a very common disorder that causes immense discomfort and has been linked to infertility. Research has found that 25 to 50 percent of infertile women have endometriosis.

Don't Lose Hope: Pregnancy after Miscarriage Is Possible

"77 percent of women had a successful pregnancy after pregnancy loss"

According to the University of California Los Angeles, the chance of a successful pregnancy even after pregnancy loss is approximately 77 percent for women who did not have any abnormalities during testing and 71 percent for those who did. 

What to Expect as a Patient at Our Clinic

Woman sitting with doctor


If you have suffered three or more miscarriages, it is recommended that you visit a doctor. Our Omaha, NE, team can conduct testing to determine the cause of your recurrent pregnancy loss or provide treatment that helps you increase your chances of pregnancy. Our doctors can administer a medical evaluation, review your family history and genetic history, perform a pelvic exam, or order genetic testing to determine whether a specific condition is causing your recurrent miscarriages. Karyotypes may be performed for both the mother and father to determine whether genetic abnormalities are causing miscarriage. 

Doctor pointing to model of female productive system


Our evaluation may also include an ultrasound or hysteroscopy, which helps our doctors evaluate the health of your uterus and uterine cavity. In most cases, we will begin with an ultrasound to evaluate the shape of the uterus and detect abnormalities such as fibroids. We may use hysteroscopy to view the inside of the uterus (the uterine cavity) and identify polyps, fibroids, uterine septums, or other abnormalities that could be causing recurrent issues. During a hysteroscopy, we can also perform minor surgical treatment to remove these abnormalities. 

Doctor looking at sample through microscope


If a specific cause is found, we can provide treatment to increase your chances of a successful pregnancy. However, it is important to note that many women show no cause for recurrent pregnancy loss. Depending on your diagnosis, our doctors can help design a treatment customized to your condition and goals. If chromosomal errors are to blame for pregnancy loss, we may recommend in vitro fertilization (IVF) with genetic testing. If physical obstructions such as a septate uterus or endometriosis are diagnosed, we may be able to perform corrective surgery to help you become pregnant.

Woman looking at pregnancy test

Awaiting Results

It is important to remain patient and optimistic throughout the process, as recurrent miscarriages do not mean that you can never become pregnant. According to a study released by the University of California Los Angeles, the chance of a successful pregnancy even after pregnancy loss is approximately 77 percent for women who did not have any abnormalities during testing. If we are unable to achieve pregnancy through IVF or other ART procedures, we can explore additional options including egg donation and surrogacy.

More Reviews from Our Patients


Vanessa Young


Google logo

We loved the staff and facility! We are pregnant on our first IVF cycle after a fresh transfer. Unfortunately, we only had one embryo make it to day 5. We will be doing our second round with them as well!

View On Google

Amanda Knowlton


Google logo

They deal with all aspects of infertility and hormones. They communicate well and answer any and all questions.

View On Google
Heartland Center for Reproductive Medicine

Heartland Center for Reproductive Medicine

Our board certified fertility specialists offer state-of-the-art fertility treatments. An open and inclusive environment, the Heartland Center for Reproductive Medicine can address different causes of infertility and help LGBTQ couples build loving families.

Contact our practice online or call us at (402) 717-4200 to schedule a consultation.

Contact Us Today

Rate, Review & Explore

Social Accounts Sprite
Google map image of our location in 7308 S 142nd St  Omaha, NE

Omaha Office

7308 S 142nd St
Omaha, NE 68138

Closed Today

Closed for Lunch from 12:00-1:00

Google map image of our location in 8560 Foxtail Dr  #201 Lincoln, NE

Lincoln Office

8560 Foxtail Dr
Lincoln, NE 68526

Closed Today

(402) 717-4200 Send a message