5 doctors weighed in:

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?

5 doctors weighed in
Dr. Deborah Smith
Fertility Medicine
3 doctors agree

In brief: 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.

In brief: 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.
Dr. Deborah Smith
Dr. Deborah Smith
Thank
Dr. Michael Opsahl
Fertility Medicine
1 doctor agrees

In brief: 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.

In brief: 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. Michael Opsahl
Dr. Michael Opsahl
Thank
1 comment
Dr. Nancy Durso
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.
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