Miscarriage is defined as loss of the pregnancy after it is detectable on ultrasound, generally about five to six weeks gestation (the age of the pregnancy from the last normal menstrual period).

A chemical pregnancy (a positive pregnancy that quickly turns negative) is different from a miscarriage as the pregnancy did not develop to being detectable on ultrasound. However, many doctors believe couples who have chemical pregnancies have a better reproductive prognosis than those who have miscarriages.

The most common cause of having a miscarriage is a genetic abnormality in the embryo. When couples have a miscarriage, it is possible to have the tissue that has passed or been removed analysed for genetic abnormalities.

If the analysis comes back negative for genetic abnormalities, further investigation may be necessary. This could include investigation of the uterus, clotting and, immune system and evaluation of endocrine disorders such as thyroid hormone levels and blood sugar levels.

Generally, if you’ve had a miscarriage more than twice or, speak to your GP about seeking help from a specialist. However, if you’re also struggling to conceive, it’s still important to see a specialist. Here’s when you should seek fertility help.

It is very common to have long-lasting sadness and distress after a miscarriage and counselling can be very helpful.

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