When should I get a miscarriage workup, and what is typically checked?

A recurrent pregnancy loss evaluation is often recommended after two consecutive first-trimester miscarriages, or after any second-trimester loss. If you’ve had a single early loss, many patients don’t need a full workup right away—but if there are additional risk factors or a complex history, we may recommend evaluating sooner.

A typical workup focuses on the most common, actionable causes. This often includes assessing the uterine cavity for issues such as a septum, fibroids, or polyps; checking labs such as antiphospholipid antibodies and thyroid function; and, in some situations, genetic testing like parental karyotypes. More extensive clotting (thrombophilia) testing is usually reserved for select cases based on your history, and our team can help tailor an evaluation plan to your specific pattern of loss and symptoms.