Step-by-Step
If you’ve experienced more than one miscarriage, you may feel grief, fear, anger, or numbness all at once. You may also feel pressure to stay strong, to move on quickly, or to explain something that is deeply personal. Recurrent pregnancy loss is not your fault—and you deserve care that takes both your medical needs and your emotional experience seriously.
At Hanabusa IVF, we provide a structured, compassionate approach to recurrent pregnancy loss. The goal is to identify what is treatable, clarify what is most likely, and build a plan that supports a healthy pregnancy—while respecting your timeline, finances, and the weight of what you’ve been through.
We focus on actionable clarity—testing that changes decisions, careful interpretation, and a plan you can trust.
We start with the most common and most actionable causes first—so you don’t lose time or money on low-value workups.
Many RPL patients have “normal” testing. We help you understand what that means and what your best next steps are.
When anatomy is a factor, correcting the cavity can meaningfully change outcomes—and we plan that efficiently.
We test for proven conditions like antiphospholipid syndrome, and we’ll be honest about what is uncertain online.
A defined monitoring plan can reduce anxiety and allow early support when indicated.
You’ve had two or more miscarriages
You’ve had one miscarriage plus higher-risk factors (age >35, known uterine issues, prior fertility treatment)
You’ve had losses after a heartbeat was seen
You’ve had repeated losses after IVF or embryo transfer
You want a clear plan before trying again
You’re not ready to try again yet—but want to complete baseline evaluation now so you can make informed choices later
You’re currently pregnant and need an early supportive monitoring plan (we can guide timing and next steps quickly)
Consultation and records review
Lab testing (e.g., thyroid, antiphospholipid panels, genetic testing when indicated)
Imaging (saline sonogram, HSG, hysteroscopy—based on history)
Procedures to correct uterine findings (if needed)
Medications (e.g., progesterone support when appropriate; APS treatment when diagnosed)
IVF and PGT-A costs if recommended
Most people with recurrent pregnancy loss do go on to have a successful pregnancy—especially when a treatable cause is identified and addressed. Success depends on age, embryo chromosome risk, medical factors, and the findings of your evaluation.
If a treatable cause is found and managed, outcomes often improve significantly
If testing is normal, many patients still have a strong chance of success with supportive care and time
If losses are driven by embryo chromosome issues, IVF with PGT-A may improve efficiency by helping prioritize embryos more likely to continue developing
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You’re a fit for Traditional Fertility Care if any of these statements resonate with you:
You’re just getting started
You want clear first steps
You’ve explored clinics, but still feel at the beginning
You need fertility testing
Your labs look reassuring
Your situation feels straightforward
You have fewer complicating factors
You’re considering IUI
You’re new to IVF
You’re planning an FET
You’re considering PGT
If anything, complex becomes evident, we smoothly upgrade your pathway.
You’re a fit for Complex Care if any of these statements resonate with you:
Low AMH/AFC or DOR concerns
You have Diminished Ovarian Reserve (DOR)
You have POI or high FSH concerns
You’re considering Ovarian Rejuvenation (PRP)
Age 40+ or time feels limited
Prior IVF didn’t respond as hoped
Low egg numbers / embryo growth issues
Unsuccessful embryo transfers
Recurrent pregnancy loss (2+ losses)
Male factor needs ICSI or TESE
You’ve been told your case is complex
If your case is complex from the start, we build the right strategy from day one.
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