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Arapahoe, WY
A 22-year-old female asked:

I have had rpl. my doctor did testing but found nothing. i have new insurance that doesn't cover anything for infertility. what would be my next step?

2 doctor answers5 doctors weighed in
Dr. Michael Opsahl
Fertility Medicine 44 years experience
Unexplained RPL: Did you have a complete evaluation - that is always a question for me of new patients. If complete, did you have genetic analysis of the miscarriage tissue. If the genetics were abnormal then you might be a candidate for pgd to find a normal embryo for transfer. The chance of another loss is about 30% unless yo have had 5-6 losses and then prob. About 50%. Good luck, frustrating problem.
Dr. Nancy Durso
Dr. Nancy Durso commented
Fertility Medicine 39 years experience
As Dr. Opsahl said you still have a good chance that everything will go OK with the next pregnancy. Seeking counselling for grief and stress reduction may help you to feel ready to try again.
Jan 28, 2012
Dr. Deborah Smith
Fertility Medicine 36 years experience
Call insurance: Since infertility is defined as an inability to conceive you could argue you are not infertile (since you can conceive), many insurances will cover treatments for repeated miscarriages but do not cover infertility therapy. In our area bcbs is the only insurance that sees rpl as "infertility" rather than a separate diagnosis. So i would clarify benefits, then see a fertility specialist.
Last updated Dec 20, 2012


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