What tests are done after two miscarriages with endometriosis?

After two miscarriages, our goal is to look beyond a single “endo explanation” and map out all the factors that can affect implantation and early placental development. We start by reviewing your full history in detail (loss timing, symptoms, prior imaging, surgeries, cycle patterns, and any fertility treatments), because the pattern of your losses often guides what to test first. We typically include expertly interpreted pelvic imaging—often ultrasound and, when helpful, MRI—to look for endometriosis features (like endometriomas), adenomyosis, uterine shape issues, and other pelvic conditions that can coexist with endo.

Because endometriosis can overlap with immune, inflammatory, and hormonal drivers, we may also evaluate thyroid function and other endocrine factors, and consider autoimmune overlap when symptoms or history point that way. If your symptom picture suggests contributors outside the uterus and ovaries, we may broaden the workup to related conditions that can worsen inflammation or pelvic dysfunction, rather than stopping at a standard checklist. If you’d like, you can reach out to schedule a consultation so our team can tailor a miscarriage evaluation plan to your history and goals—and help you understand which findings are most actionable for your next steps.