Recurrent pregnancy loss is defined as two or more miscarriages. Low dose ‘baby’ aspirin – 81mg a day plus heparin or enoxaparin shots may be needed for antiphospholipid antibodies or blood clotting disorders. Surgery is indicated for a uterine septum (a dividing wall inside the uterus) or for polyps or fibroids affecting the cavity of the uterus. We treat any thyroid or prolactin hormone issues. IVF may be needed for women with significantly diminished ovarian reserve. PGD (preimplantation genetic diagnosis) may be offered and is a good idea if either partner carries a chromosome translocation where part of a person’s DNA is switched between two chromosomes. See a Reproductive Endocrinology and Infertility (REI) specialist.