We Can Help Determine the Causes of Recurrent Miscarriage

According to the American College of Obstetricians and Gynecologists, one percent of women will suffer recurrent pregnancy losses in their lifetime. Recurrent miscarriage means suffering two or more pregnancy losses. At Heartland Center for Reproductive Medicine, PC, in Omaha, NE, we understand how devastating these losses can be. Drs. Victoria Maclin and Stephanie L.F. Gustin can help determine the underlying cause of your infertility issues and provide you with compassionate, dedicated care to help you grow your family.

Doctor comforts female patient wearing red plaid shirt
Our compassionate team can help determine the underlying cause of your issues and take steps to help you begin building your family.

Risk Factors 

The ACOG recommends scheduling an evaluation after three recurrent pregnancy losses to determine the underlying cause. There are certain risk factors that can increase your chance of a miscarriage: 

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 pregnancy loss. 

The chance of a successful pregnancy even after pregnancy loss is approximately 77 percent for women who did not have any abnormalities during testing. 

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 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.

What to Expect during Testing 

If you have suffered three or more miscarriages, it is recommended that you visit a doctor. Our 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. This evaluation may also include an ultrasound or hysteroscopy, which helps our doctors evaluate the health of your uterine cavity. If a specific cause is found, we can provide treatment to increase your chances of a successful pregnancy. It is important to note that many women show no cause for recurrent pregnancy loss. 

Treatment Options 

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. It is important to remain optimistic throughout the process, as recurring pregnancy loss does 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. 

Contact Us for More Information

Heartland Center for Reproductive Medicine, PC, is equipped with the tools and treatment options to help you grow your family. For more information about our treatment options, call our office at (402) 717-4200 or contact us online.

Dr. Victoria Maclin

Heartland Center for Reproductive Medicine

Dr. Victoria Maclin is a board-certified reproductive endocrinologist committed to using state-of-the-art technology to perform effective fertility treatment. As a leader in her field, she serves as an authority on reproductive medicine:

  • She is an associate professor at UNMC and supervises OB/GYN resident education in reproductive endocrinology.
  • She has lectured throughout the United States and has served on many professional advisory boards.

Contact our practice online or call us at (877) 831-3227 to schedule a consultation.

Contact Us Today

Each and every staff member at Heartland Center is tremendous. Dr. Maclin is a woman of grace, and a terrific medical doctor. She is a world-class surgeon, and we are so grateful to know her. Lene - IVF Patient

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