Home › Recurrent miscarriage and recurrent implantation failure
Recurrent miscarriage and recurrent implantation failure
Repeated pregnancy loss, or embryo transfers that have not resulted in a pregnancy, deserve a proper look for a cause rather than being called bad luck again. Heartbeats IVF investigates this at all four of its Goa clinics. The work-up checks the shape of the womb cavity, thyroid and blood sugar, and clotting tendency, and treats whatever is found. Many couples with this history go on to have a healthy pregnancy afterward.
Losing a pregnancy is a grief people rarely know how to talk about, and losing more than one brings a particular, quiet fear on top of it — that trying again means risking the same thing happening. That fear deserves a proper answer, not just sympathy.
What counts as recurrent
More than one pregnancy loss, or more than one embryo transfer without a resulting pregnancy, is usually enough reason to want real answers rather than being told to simply try again. You do not need to wait for a fixed number of losses before asking for a proper look.
What we look for
- The shape of the womb cavity — a septum (an extra wall inside the womb), polyp, fibroid or adhesion (scar tissue) inside the cavity, checked by hysteroscopy
- Thyroid and blood sugar — both can affect a pregnancy quietly and are correctable once found
- Clotting tendency — a blood test that checks whether your blood clots more readily than it should, which can affect the placenta
- Hormonal balance, including support for the womb lining in early pregnancy
- Genetic and chromosomal factors — sometimes relevant, and discussed case by case; where we suspect one, we refer you early to someone who can test for it properly, rather than guess
What can be treated once found
A polyp, septum or adhesion found inside the cavity can often be corrected by hysteroscopy. Thyroid and sugar problems are treated directly. And once you are pregnant again, closer monitoring from the very first weeks — rather than waiting for a routine first scan — is high-risk pregnancy care in practice. Sometimes, honestly, no clear cause is found even after a full work-up, and we will tell you that plainly rather than invent one to give you an answer.
Recurrent implantation failure, specifically for IVF
This is when good-quality embryos have been transferred more than once without a pregnancy resulting. The investigation overlaps with the same womb-cavity check, alongside a review of general health and the embryos themselves. Sometimes the more useful next step is a frozen embryo transfer, giving the lining more preparation time, rather than repeating the same fresh approach. Not every case has a findable cause, and we say so honestly when that is true.
What we will not do
We will not offer a promised fix, and we will not invent a cause just to give you a tidy answer. Where we genuinely do not know, we will tell you plainly, and talk through what is still reasonable to try.
Where this happens
The consultation and most of the work-up are done at whichever Heartbeats clinic is nearest you — Panjim, Margao, Mapusa or Vasco. A hysteroscopy, if needed, is done at Pai Hospital, Vasco, and we send a car for you, free of cost.
Questions couples ask about recurrent loss
How many losses count as "recurrent"?
More than one is usually enough reason to want a proper look, rather than waiting for a fixed number of losses first.
Will you find a cause for my losses?
Often, though not always. Some couples have a clear finding; some have every test come back normal, and we will tell you that honestly rather than guess.
Does one failed embryo transfer mean something is wrong?
Not necessarily. A single failed transfer is common and often needs no special work-up. It is repeated failures that we look at more closely.
Can I try again straight after a miscarriage?
Timing depends on how the last pregnancy ended and how you are recovering, physically and otherwise. Discuss it with us before deciding.
Does this mean I need IVF?
Not always. Some causes can be treated directly, and a natural pregnancy or a simpler treatment is sometimes the right next step.
Once I am pregnant again, what changes?
Closer, earlier monitoring, from the first weeks rather than a routine first scan later on - that is high-risk pregnancy care, and it applies from the start.
Where can I get this investigated in Goa?
At any of the four Heartbeats clinics: Panjim, Margao, Mapusa or Vasco, led by Dr. Mayur Pai (MBBS, MS). The work-up is clinic-based; hysteroscopy, if needed, is done at Pai Hospital, Vasco. Call or WhatsApp 095185 02773.
Your visit is confidential — nothing about you appears on this website or on social media.
This page is for general education and is not personal medical advice. Fertility treatment depends on your individual assessment. Please consult a doctor about your own situation. We do not carry out or offer sex determination of any kind, which is prohibited by law in India under the PCPNDT Act.