Miscarriage affects around 12 to 15% of known pregnancies.1 It is more common than many people realise, and for most women it occurs for reasons entirely outside their control.
The majority of miscarriages occur due to chromosomal abnormalities in the embryo that are unavoidable. A miscarriage generally happens for reasons outside your control, and nothing could have been done to prevent it. Dr Rozen understands the profound emotional impact of pregnancy loss and approaches every patient with sensitivity, honesty, and genuine care.
The causes of miscarriage are diverse, and in many cases no specific cause is identified. Known factors include:
A significant proportion of miscarriages are due to chromosomal abnormalities in the embryo
Uterine anomalies such as a septate uterus or fibroids can interfere with implantation and embryo growth
Conditions like PMOS/PCOS, thyroid disorders, and luteal phase defects can affect pregnancy sustainability
Some women develop antibodies that affect the embryo, or experience blood clotting disorders that affect placental blood flow
Smoking, excessive alcohol consumption, obesity, and high caffeine intake can increase risk
Certain bacterial and viral infections can compromise a pregnancy
Exposure to certain pollutants and environmental toxins may be linked to increased risk
There are three approaches to managing a miscarriage, and the right option depends on individual circumstances and preferences.
Allowing the miscarriage to complete naturally, without medical or surgical intervention.
Medication is used to help the body pass the pregnancy tissue. This avoids surgery but may take several days to take effect.
A minor procedure to remove pregnancy tissue from the uterus. This is the most immediate option and may be recommended in certain circumstances.
Dr Rozen will discuss the most appropriate option based on each patient’s individual situation, health, and preferences.
Recurrent miscarriage is defined as two or more consecutive pregnancy losses. It affects around 5% of women and requires thorough investigation.1 This may include genetic testing of both partners, hormonal assessments, anatomical evaluations, and blood tests for autoimmune or clotting issues.
Treatment depends on the identified cause and may include corrective surgery, IVF with preimplantation genetic testing (PGT), hormonal therapy, anticoagulation therapy, and lifestyle modifications.
The question of when to try again after a miscarriage is deeply personal, and there is no single right answer. Historically it was recommended to wait one to three cycles before trying again, but more recent evidence suggests that conceiving soon after a miscarriage does not increase the risk of another loss.2 Ultimately the timing should be guided by individual health, emotional readiness, and advice from a healthcare provider.
When you feel ready to try again, preconception care can help optimise your health for a future pregnancy. This may include folic acid supplementation to reduce the risk of neural tube defects, a preconception checkup to address any health concerns, and tracking your cycle to understand your fertile window.
The emotional toll of miscarriage, and particularly recurrent miscarriage, can be profound. Feelings of grief, anxiety, and depression are common and entirely understandable. Support from counselling, support groups, and mental health professionals with experience in reproductive health can be invaluable. Dr Rozen’s approach to miscarriage care includes attention to emotional and psychological wellbeing alongside clinical management, because she understands the importance of a holistic approach to recovery from miscarriage.
“Whether it’s a first miscarriage or a pattern of losses, my goal is to help patients understand what happened, feel genuinely supported, and when they are ready, feel confident about what comes next.”
– Dr Genia Rozen, Fertility Specialist, Genea Melbourne City and Frankston
