Fertility Docs Uncensored Today’s episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this question-driven episode, we take a deep and thoughtful look at pregnancy loss, especially for patients who feel stuck after “normal” test results. We explore what additional evaluation options exist when standard workups don’t provide answers and discuss how thinking outside the box can uncover overlooked causes. What testing can be considered after recurrent pregnancy loss with normal results? We discuss sperm DNA fragmentation testing, uterine evaluation with saline sonogram, and when to consider less obvious causes such as tubal factor, particularly in cases of recurrent pregnancy loss of unknown location or repeated very early losses. Could some early losses represent undiagnosed tubal pregnancies? We walk through that possibility and when it should be investigated. How does endometriosis impact implantation and miscarriage risk? We review the role of the Receptiva assay and BCL6 as a marker of inflammation that may contribute to failed implantation or early pregnancy loss, particularly in IVF cycles. We also explain how IVF can shift the “tipping point” by helping identify embryos with chromosomal abnormalities, which are common due to egg-related factors and increase with age. Why does time matter more as women get older? Each miscarriage can take months to resolve, delaying future attempts and compounding age-related fertility decline. Finally, we address the emotional toll of recurrent pregnancy loss and the importance of building resilience through counseling, journaling, and support systems. This podcast was sponsored by Shady Grove Fertility.

Ep 322: Answering your Questions about Pregnancy Loss