Experiencing recurrent miscarriages can be deeply distressing and may indicate underlying issues that need to be addressed. It differs from a single miscarriage, which is relatively common and often occurs due to random factors. Recurrent miscarriages warrant a thorough medical evaluation to identify potential causes and determine appropriate treatment or interventions.Here are some tests which are recommended:

1. Genetic Testing: Both partners might undergo genetic testing to check for chromosomal abnormalities that could be contributing to recurrent miscarriages. This includes karyotyping to identify any structural or numerical chromosomal issues.
2. Hormonal Assessments: Testing for hormonal imbalances can be crucial. Key hormones to check include:
   • Thyroid Function: Hypothyroidism or hyperthyroidism can impact pregnancy.
   • Progesterone Levels: Progesterone is crucial for maintaining a pregnancy, and deficiencies might be addressed with supplementation.
   • Polycystic Ovary Syndrome (PCOS): This condition can impact fertility and pregnancy.
3. Uterine Structure and Health: Imaging studies like a hysterosalpingogram (HSG), sonohysterogram, or hysteroscopy can help identify issues with the uterine lining or structure, such as fibroids, polyps, or congenital anomalies.
4. Blood Clotting Disorders: Conditions such as antiphospholipid syndrome or other thrombophilias can affect pregnancy outcomes. Tests might include:
   • Antiphospholipid antibodies、Protein C and S deficiencies、Factor V Leiden mutation，etc
5. Autoimmune Disorders: Conditions like lupus or rheumatoid arthritis can impact pregnancy. Testing for autoimmune markers might be necessary if there are symptoms suggestive of such disorders.
6. Infections: Certain infections can contribute to miscarriage, so screening for infections that could affect pregnancy is important.
7. Lifestyle Factors: While not a test, assessing and addressing lifestyle factors such as smoking, alcohol consumption, and stress is crucial. These factors can sometimes impact pregnancy outcomes.
8. Male Partner’s Health: Sometimes, issues related to sperm quality or genetic abnormalities in the male partner can contribute to recurrent miscarriage, so a semen analysis or genetic testing for the male partner might be recommended.

There are many potential causes of recurrent miscarriages. However, not all of the factors listed above need to be checked every time a miscarriage occurs. Consulting with a reproductive endocrinologist or a fertility specialist in maternal-fetal medicine can provide a comprehensive evaluation tailored to your specific situation.

Traditional Chinese medicine and acupuncture have significant advantages in supporting pregnancy and addressing miscarriage issues. If you need assistance, please feel free to contact us.