Recurrent Miscarriage

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One of my specialist interests is in women with recurrent miscarriage, and hopefully I will be able to assist you in your desire to achieve an ongoing pregnancy.

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From a personal perspective, I have been in the same situation that you are currently experiencing, and fully understand and recognise that, on occasion, some women are not fully investigated for why they are miscarrying, or are told that they need to wait until they have suffered the trauma of 3 consecutive miscarriages (termed 'recurrent miscarriage') before being investigated. While I agree that miscarriage is a common event, I do not agree that women who wish to be investigated are not offered the opportunity for earlier assessment.

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From a professional perspective, I have a gained extensive experience in managing women with miscarriage, both acute and recurrent. In 2007, I was appointed consultant in obstetrics and gynaecology and lead for early pregnancy services. I have been involved in this area of women's health since this time. At my current NHS hospital, I continue undertaking that role. I have been regularly involved in running recurrent miscarriage services, and have also been involved in the running of a fertility centre.

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Were you to consider seeking my services for further investigation, this would involve assessments of a wide variety of factors to include tests such as (but not limited to):

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• blood clotting disorders (inherited and acquired)

• genetics (including partner testing)

• thyroid and diabetes

• uterine shape abnormalities

• polycystic ovarian syndrome (different from polycystic appearing ovaries on scan)

• ovarian reserve (AMH)

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Please be aware, that screening for blood clotting problems should ideally occur no earlier than 8 weeks after the last pregnancy/miscarriage, and 4 weeks off all anti-coagulants (including aspirin).

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Consultation

Most women looking to achieve a pregnancy are in good health. This would be undertaken by a telephone consultation in the first instance for your convenience, but those women who prefer to attend my private hospital clinic can do this also.

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Booking

Should you wish to make an appointment for a private consultation regarding recurrent miscarriage, and undertaking the next steps, please book this appointment via this website by completing the form at the bottom of the page. We will send you a fertility questionnaire ahead of your appointment for you to complete, along with details of the cost of the initial and follow up appointment.

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If you wish to be seen in person, please visit the contact page on this site, and make an appointment via my secretary.

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Blood Tests

We will arrange for blood tests to be taken in your home for your convenience where this is geographically possible. (This may not be possible during any restrictions in place by the Department of Health during the pandemic)

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We will advise you of the list of blood tests that are required and the cost of the collecting the blood and the testing.

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Ultrasound Scans

Many women will not need to pay an additional cost for a private ultrasound scan where they have had a recent pelvic ultrasound scan, as the sonographer who scanned you would usually advise if the shape of the womb was abnormal.

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Follow Up

You will need a further follow up appointment to discuss all of the results, and the types of treatment that may be offered to you.

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Surgical Procedures

A wide range of surgical procedures can be offered to assess the pelvis and uterus for abnormalities.

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Costs

It is difficult to be precise about the costs of a complete assessment for miscarriage and future fertility as some women may request specific tests that they would like performed in addition to miscarriage testing.

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