Pacific Fertility Center

Recurrent Miscarriages

Recurrent miscarriages are devastating, spontaneous events that can leave families with physical and emotional pain for years to come. 

But with the proper diagnosis, recurrent pregnancy loss can be overcome. Many of us who have suffered a miscarriage are still able to experience parenthood

At Pacific Fertility Center serving Los Angeles, CA,  Glendale, and the San Fernando Valley, we understand the emotional toll that miscarriages can have on families. We want to help...

What Are Recurrent Miscarriages?

Recurrent miscarriage, also known as recurrent pregnancy loss, is defined by the American Society of Reproductive Medicine (ASRM) as two or more miscarriages before the pregnancy reaches 20 weeks. According to the ASRM, there are two types of pregnancy losses: loss of a "clinical pregnancy" and loss of a "biochemical pregnancy.

A clinical pregnancy is one that has been detected with an ultrasound in a clinical setting, while a biochemical pregnancy is one that has only been detected with a blood or urine test. While the loss of a clinical pregnancy is accounted for when diagnosing recurrent miscarriages, biochemical pregnancies are not. 

You Are Not Alone

Many women who have experienced miscarriage are reluctant to talk about it. But miscarriages are extremely common, and in most cases, completely out of the parents' control. The American Pregnancy Association estimates that anywhere between 10 and 25 of all pregnancies will end in miscarriage, and that one percent of couples who are trying to conceive will experience recurrent miscarriage. Additionally, most miscarriages are caused by chromosomal abnormalities, which cannot be foreseen or prevented. 

Are You Experiencing Recurrent Miscarriage? Call Us Today to Learn about Your Options

Office interior
Lobby at the Pacific Fertility Center

At Pacific Fertility Center, we understand that patients can feel defeated or discouraged following a miscarriage or multiple miscarriages. But our doctors want you to get the answers you need to overcome the cause of your recurrent miscarriage and successfully achieve your dreams of parenthood. 

Our physicians have performed thousands of fertility treatments and are members of various prestigious organizations, including: 

  • The American Society for Reproductive Medicine
  • Fertile Action
  • Circle Surrogacy & Egg Donation

We want patients from all backgrounds and countries to overcome recurrent miscarriages and experience parenthood, so we offer flexible payment plans that can be tailored to your budget. To schedule a consultation at one of our office locations, request an appointment online or call us: 

(310) 209-7700

Send Us a Message

Patients Are "Forever Grateful"

Robert S.

Robert S.

September 2019

My wife and I spent many long hours researching both Fertility Centers and the doctors and staffs that are associated with them across the country.After an extensive search and comparison of the top fertility centers , we decided to select the Pacific Fertility Center of Los Angeles headed up by Dr. Vicken Sahakian and an amazing staff. 
We had personal interviews with Dr. Sahakian even though we lived on the other side of the country. 
Our decision was made and we need to tell the readers that our research has proved to be totally validated as our beautiful daughter was just born. We are so thrilled to be able to parent our child made possible by Dr. Sakakian’s skill and that of the staff of Pacific FertilityCenter.
We  are forever grateful.
RMS View On Google



August 2019

I felt the need to inform future patients to put their mind at ease with Pacific Fertility Center (PFC) in Los Angeles.  My egg cryopreservation was more of a spa treatment than a medical procedure that allowed me the privilege of dealing with a few members of the PFC team.  I received treatment from Dr. Michelle Evans, whose skills are truly unprecedented.  My coordinator Miu was always one step ahead in scheduling and training me with medications.  The nurses Pamela and Kimberly, with the sweetest dispositions helping me after retrieval.  The process was not as difficult as I imagined, and I credit that to this team of professionals.  I will always be thankful for the excellent care I received at Pacific Fertility Center while making the most liberating decision of my life.
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Causes of Recurrent Pregnancy Loss

Recurrent miscarriages can occur for a variety of reasons, including:

Genetic Defects

Chromosomal abnormalities are responsible for most early miscarriages (miscarriages that occur within the first three months of pregnancy). These miscarriages usually occur because the fetus has an extra chromosome or is missing one of their 46 chromosomes. In most cases, these genetic abnormalities will prevent the development of a healthy baby.

Anatomical Abnormalities

Women can be born with an abnormally shaped uterus, or they can develop abnormalities such as uterine fibroids, polyps, or scarring later in life. These abnormalities can cut off blood supply to the pregnancy, disrupt implantation, or prevent the fetus from growing, increasing the risk of miscarriage. 

Medical, Endocrine, or Hormonal Conditions

Immune system disorders, hypothyroidism and diabetes mellitus can increase the risk of pregnancy loss. Thrombophilias (or abnormal increases in blood clotting) can also cause issues during pregnancy. 

Unexplained Miscarriage

If we cannot determine the cause of your miscarriages even after conducting extensive evaluations at our Los Angeles clinics, we will classify your miscarriages as "unexplained" cases.

Most causes of pregnancy loss are completely outside of a mother or father's control, meaning miscarriages cannot necessarily be prevented. But if you are trying to conceive following recurrent miscarriages, you should maintain an overall healthy lifestyle and visit our Los Angeles clinic so that we can determine the cause of your infertility. Even if the results of your work-ups are inconclusive, we can still find a treatment option that works with your needs. 

Aging Can Increase Your Risk of Miscarriage

The more mature your eggs become, the lower the quality often becomes. Therefore, older women are at an increased risk of genetic abnormalities and pregnancy loss. Decreased egg quality can lead to chromosomal issues, and the ASRM estimates that the risk of miscarriage due to genetic abnormalities increases from 10 to 15 percent for women younger than 35 to over 50 percent in women over 40.

Other studies have linked older age to issues during pregnancy, including miscarriage, high blood pressure, and difficult labor. If you are thinking of waiting until you are older to have children, you can also consider freezing your eggs at our Los Angeles clinics. Egg freezing is a simple way to ensure that your healthiest eggs remain available for later use and can potentially protect you and your partner from recurrent miscarriage.

What to Expect During Your Consultation

In order to evaluate the cause of your recurrent pregnancy loss, our doctors may conduct various diagnostic tests, including: 

Medical History

Our doctors will examine your medical and genetic history. We may also order blood tests to find any immune or blood-clotting diseases that could be contributing to your recurrent miscarriages.

Genetic Testing

If we suspect that chromosomal factors may be contributing to your recurrent miscarriages, we may perform a karyotype analysis for both you and your partner. By examining your chromosomal makeup, our doctors can find abnormalities that are being passed to the embryo and causing miscarriage. 


Our doctors may use various types of imaging including ultrasounds, hysterosalpingogram x-rays, and hysteroscopy to assess the shape of the uterus and check for adhesions or fibroids. 

During a hysterosalpingogram (or HSG), our team will inject dye into the uterus through the cervix. As the dye flows through the uterine cavity and fallopian tubes, we will follow it using x-ray imaging. With an HSG, a doctor can also determine whether the fallopian tubes are open. 

If a hysteroscopy is necessary, our doctors can see abnormalities and repair them simultaneously during this minor surgical procedure.

Why Visit Our Center

Our doctors have a unique understanding of the causes of infertility and we can develop a plan that helps you achieve your dreams of parenthood. We have assisted in the conception of over 5,000 babies, and our world-class doctors use the latest diagnostic techniques to overcome virtually any cause of infertility

Highly Recommended by Patients

Keri L.

Keri L.

June 2019

Working with Dr. Sahakian and his staff as a gestational carrier has been great! Dr. S and his staff went above and beyond for me when needed. I would recommend them to anyone.
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Siddiya S.

Siddiya S.

June 2019

I met Dr. Sahakian through a wonderful agency, CEO Fran Williams.  I am excited to say Dr. Sahakian is experienced, professional and will do his best as a medical doctor/director to make your dream come true.  I lost money, embroys and time dealing with several doctors in Atlanta, GA who had no clue.  The first time I saw Dr. Sahakian my embroys made it as well as the second time.  I have two boys- 3 years old and a 1 month old.

I highly appreciate and recommend Dr. Sahakian, Pacific Fertility Center. View On Google

Do You Live Outside of the United States?

Unfortunately, many families who are dealing with recurrent miscarriages never get the answers they need because they do not have access to a top fertility center. At Pacific Fertility Center, we are uniquely equipped to serve the needs of international patients. We have several bilingual doctors on our team, and we work hard to accommodate the needs of international and out-of-town patients by scheduling conference calls and coordinating with local doctors to keep your travel at a minimum.

Several of our team members fluently speak Arabic, French, Hebrew, Mandarin, Norwegian, Romanian, and Spanish. We can also bring in a translator if needed so that you are fully informed about your diagnosis and treatment options. 

We have helped patients from all over the world, including the United Kingdom, Canada, and Australia, to achieve successful pregnancies. We can help you, too.

Contact Pacific Fertility Center & Get Answers Today

Often, recurrent losses can make you feel defeated or isolated. But you are not alone. Our expert physicians have helped thousands of men and women dealing with infertility to get the answers they need and start treatment today. 

Even if your recurrent miscarriages remain unexplained, we can help you find a solution that fits your unique needs. To get started, contact us online or call us: 

(310) 209-7700

Your Treatment Options

Recurrent miscarriages do not mean you can never have children. According to the ASRM, women who have had three miscarriages still have a 60 to 80 percent chance of successfully conceiving and carrying a child through a full-term pregnancy.

There are many treatment options available for patients at our Los Angeles clinics. Each can be tailored to the cause of your recurrent miscarriage.


Often, managing systemic health problems can help you achieve pregnancy. If a medical condition, thyroid dysfunction, or diabetes are contributing to pregnancy loss, we may prescribe certain medications to increase your chances of a successful pregnancy. Women who have issues with blood clotting may be treated with a simple medication like low-dose aspirin. Our team will provide the appropriate dosage to keep you healthy and safe during pregnancy while reducing your chances of a miscarriage. 

Karyotype analysis
Genetic Counseling

The ASRM estimates that five percent of couples who are suffering recurrent issues getting pregnant have one parent with a chromosomal translocation (or an abnormal rearrangement in their genetic makeup).  If chromosomes or genetics are responsible for your recurrent miscarriages, we may recommend genetic counseling. Many parents who are facing chromosomal or genetic abnormalities choose to undergo genetic screening during pregnancy to assess the embryo's chromosomes. If you are opting for in vitro fertilization (IVF), our clinic also offers pre-implantation genetic diagnosis. Using preimplantation genetic diagnosis, we can assess the genetic makeup of each embryo and select the healthiest embryos for implantation into the uterus.

Surgical procedure

Many uterine abnormalities, including polyps, a uterine septum, fibroids, or scar tissue, can be corrected with surgery. We can correct the shape of your uterus to reduce the chances of recurrent miscarriage. Our surgeons use advanced tools including hysteroscopes to perform the surgery through the vagina, without the need for abdominal incisions. Most surgeries can be completed in just one day. 

In Vitro Fertilization
In Vitro Fertilization

During IVF, our Los Angeles team will prescribe hormones to increase the number of eggs you release during ovulation. We will then retrieve the eggs during a minor surgery. The eggs are then mixed with your partner's sperm in our controlled, state-of-the-art IVF lab. Once the eggs are fertilized, our team can perform pre-implantation genetic diagnosis to identify the healthiest eggs and select those for implantation in the uterus. The embryos without chromosomal translocations will then be chosen, increasing your chances of a successful pregnancy. 

Artificial Insemination
Artificial Insemination

If your recurrent issues are due to male factor infertility, abnormal ovulation, or unexplained infertility, we may recommend intrauterine insemination (IUI). During this artificial insemination technique, our doctors will inject pre-washed sperm directly into the uterus to increase the chances of conception.

Ovulation Induction
Ovulation Induction

If you are experiencing recurrent issues because of abnormal or absent ovulation, ovulation induction can help. This treatment floods your system with hormones and increases the number of eggs you release during ovulation. For most patients, we will begin with oral medications, which are cost-effective, easy to administer, and boast fewer side effects. We also offer injectable medications for women who do not respond to oral medication. 

Even if we cannot explain the cause of your recurrent pregnancy loss, you have options. For patients who are unable to conceive or those who do not want to endure another pregnancy loss, we may recommend egg donation and surrogacy. Our team can use healthy donor eggs to help you conceive, or we can work with a surrogate to help you carry your pregnancy to full-term. Pacific Fertility Center works with the most healthy, intelligent, and qualified donors and surrogates so that you can feel at ease knowing your baby is in good hands. 

The only way to determine which treatment is right for you is to visit our Los Angeles offices. Here, our team of specialists can perform a work-up to determine the cause of your recurrent miscarriage and recommend the most effective treatment. Even if we cannot find the exact cause of your recurring miscarriages, we will help you find an option that helps you achieve your dreams of parenthood

More Reviews from Our Families

Leah L.

Leah L.


I was really fortunate to meet Dr. Sahakian. After 8 years of struggle, my husband and I met Dr. Sahakian. We had 2 beautiful and healthy kids. He is amazing doctor. I would totally recommend him.
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Kami D.

Kami D.


I was lost in the world of infertility and never expected anyone to be able to help us to become parents. After years of struggle and heartbreak, we were able to conceive. Years down the road, with even more issues, we went back and our family is now complete. Compassionate, exceptional, and well trained doctor’s and staff help you the entire journey. There are no words to explain the gratitude I have for Dr. Sahakian and his staff at Pacific Fertility. Forever grateful for the chance to become parents.
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Request a Consultation at Our Offices Today

Ready to get answers? Our physicians have the training and equipment to diagnose and treat virtually all causes of infertility. Whether you are local or international, we can help.

Both of our office locations are warm, inviting, and luxuriously decorated. They do not feel like clinics, but rather homes where you can feel comfortable during a stressful time. Additionally, we are equipped with our own state-of-the-art laboratory, so we can control every step of your treatment and ensure successful results.

Are you visiting us from out-of-town? Los Angeles offers many vibrant, exciting destinations for visitors, and our team can gladly help you coordinate every step of your travel. To schedule a visit, request an appointment online or call us:

(310) 209-7700

Building Lifelong Relationships with Our Families

"Dr. Sahakian goes above and beyond for his clients. I would highly recommend him to anyone looking for a physician who is intelligent, personal, and professional. I was beyond impressed, and still am with my current communications with him- now almost 3 years after treatments." Callie K.

Pacific Fertility Center

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Our office is warm and comfortable.

The team of world-class doctors and nurses at Pacific Fertility Center have assisted in the conception of more than 5,000 babies. We are proud to be affiliated with prestigious organizations, including:

  • Fertile Action
  • American Society of Reproductive Medicine
  • Circle Surrogacy & Egg Donation

For more information about our services, contact our practice online or call (310) 209-7700 today.

Contact Us Today

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