Recurrent Pregnancy Loss

Item: The Center for Fertility and Gynecology
Rating: 5
Author: E. K.

Pregnancy loss can be one of the most difficult experiences of a woman’s life.

Drs. Michael Vermesh and Tannaz Toloubeydokhti provide personalized fertility treatments to address recurrent pregnancy loss.

Explore how our fertility experts in Los Angeles, CA, can help make your dreams of parenthood a reality.

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Call: (818) 881-9800

What Is Recurrent Pregnancy Loss?

Miscarriages impact one in four women. However, when a woman experiences two or more consecutive miscarriages before 20 weeks, this is known as recurrent pregnancy loss (RPL). It is also referred to as recurrent miscarriage. There are four categories of recurrent pregnancy loss.

Immune/Hormonal/Clotting

The hormonal, immune, and thrombotic environment during gestation is critical to a successful pregnancy. While some factors associated with immunity or blood clots, such as antiphospholipid antibodies (antiphospholipid syndrome), are associated with recurrent miscarriages, other factors, like natural killer cells, have some connections. Our doctors are experts at choosing which tests to order and not order to best evaluate for this type of pregnancy loss. Once the cause is established, a variety of treatments are available.

Unexplained

Despite the vast array of tests available, about a third of all cases of recurrent miscarriages and other pregnancy losses remain unexplained. This does not prevent us from taking specific measures to improve the chance of a successful pregnancy. Depending on a patient’s history, basic medications such as aspirin and progesterone, plus frequent monitoring, have been shown to improve outcomes. In other cases, injections, infusions, or preimplantation genetic testing can be used to increase the chances of success.

Intralipid Therapy

Intralipid Therapy is a process of administering intralipids, or fatty acid derived from soy, to a hopeful mother to increase the chances of successful embryo implantation and reduce the risk of miscarriage. It works by reducing the body's toxic white blood cell activity and combatting the effects of some autoimmune disorders on this process. Dr. Michael Vermesh explains that he has had great success with this method, which is safer and more affordable than IVIG therapy.

Our Approach to Recurrent Pregnancy Loss

If you have experienced several consecutive miscarriages, it may be time for an evaluation at our Los Angeles area fertility clinic. For your convenience, we have locations in Tarzana, Torrance, Bakersfield, and Thousand Oaks, CA.

Consultation

During your consultation, you will meet with Dr. Vermesh or Dr. Toloubeydokhti to discuss your history and examine any medical records.

Testing

Testing such as blood work, ultrasound, or an HSG may be ordered to determine the root cause of your recurrent pregnancy loss.

Treatment

Once the cause is determined, we can recommend the best treatment or treatments. This will vary based on the cause of your recurrent pregnancy loss and whether other infertility issues are discovered. Our fertility experts will craft a custom treatment plan to give you the best possible chance of a successful pregnancy.

Intralipid Therapy

Intravenous lipids therapy is a fatty acid derived from soy that can combat overactive white blood cell activity and prevent rejection of a potential embryo. This advanced treatment is a great option for patients experiencing recurrent pregnancy loss and implantation failure, as well as for patients with autoimmune disorders that may make a successful pregnancy difficult.

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Providing the Los Angeles Area With Expert Fertility Care

We're incredibly fortunate to have such a wonderful team at this office. Everyone here is not only exceptionally warm but also highly responsive. Dr. Vermesh holds a special place in our hearts. He played a pivotal role in bringing my husband into this world over 30 years ago, and now he's guiding us through the journey with our little nugget. His longstanding commitment and expertise speak volumes, and we trust him implicitly. Without a doubt, he's the best in his field.

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I would highly recommend The Center for Fertility and Gynecology for IVF fertility treatments. I was referred to them by a friend and every step of the process was smooth and I felt very cared for. I rarely had to wait longer than 10 minutes to be seen for my appointments and everyone at the clinic was professional and friendly. Dr. Vermesh made me feel comfortable and he and the nursing team explained everything thoroughly.

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