3 consecutive losses, need insight for next steps
Please help if you have had a similar experience! This is all so new to my husband and I and we feel lost.
I (31F) am currently awaiting my 3rd consecutive loss after monitoring HCG levels (13dpo 53, 16dpo 190, 19dpo 390, 21dpo 538, 23dpo 433). First loss (June 2025) was natural miscarriage at around 5 weeks, no meds needed. Second (Nov 2025) was mmc blighted ovum found at 7 week US. Now, I’m a little over 5 weeks and looks like it’ll be another miscarriage (praying for it not to be ectopic). For this last pregnancy I took progesterone starting 3dpo and baby aspirin. Out of 4 cycles of trying, we got pregnant 3 times.
Me and my husband (31M) have done all the typical RPL testing after our 2nd miscarriage and everything came back “normal” except I had endometritis prob from my last miscarriage which i successfully took Doxycyline to clear, my TSH level was 3.4 which i heard isn’t ideal for conceiving but within normal parameters, and vitamin d was insufficient which I’m taking supplements for. My husband has also gotten sperm analysis which came back above average but we are going to schedule a dna fragmentation test. We were so hopeful about this 3rd time around bc we thought the endometritis was what was causing it.
I’ve been seeing the term hyperfertility being used and i suspect that may be our case too? But my RE mentioned that since we’re younger and healthy IVF may not be helpful bc it may not be an egg quality issue at this point…
However, I don’t see what else our next steps could be except either IVF or getting onto the waitlist for a reproductive immunologist (Kwak-Kim is 6 month wait).
My cycles before our TTC journey was regularly around 39 days, but blood tests don’t suggest pcos either.
Has anyone been in a similar situation with consecutive early losses and had success with IVF or seeing an RI? Idk how much longer we can just continue trying only to see the same results.