ABSTRACT

The evaluation and management of couples with recurrent pregnancy loss (RPL) can often be challenging for both the clinician and patient. For the patient, the devastation caused by a single pregnancy loss, let alone repeated losses, is emotionally straining and further burdensome due to uncertain causality and prognosis. The clinician is faced with addressing the psychosocial needs of the patient while embarking on a complex and sometimes ambiguous series of tests and treatment options that may not guarantee the desired outcome of a healthy live birth. Caring for the RPL patient requires responsiveness to the evolving diagnostic and treatment algorithms for RPL, while focusing on the individual needs and therapy goals of the patient.