Comprehensive Testing for Recurrent Pregnancy Loss: Understanding Causes and Solutions

    What is Recurrent Pregnancy Loss (RPL Test)?

    Recurrent pregnancy loss (RPL) is defined as the occurrence of two or more consecutive pregnancy losses before 20 weeks of gestation. The etiology of RPL can be multifactorial, involving genetic, anatomical, endocrinological, immunological, and haematological factors.
    RPL testing encompasses a series of diagnostic evaluations aimed at identifying underlying causes, including karyotyping for chromosomal abnormalities, antiphospholipid antibody testing, and assessment of uterine anatomy via imaging.
    Comprehensive RPL screening may also include hormonal assays and thrombophilia testing. Early identification through an RPL panel blood test is crucial for determining personalised management strategies and improving reproductive outcomes.

    How is the Test Done?

    StepDescription
    POC Sample Testing A small sample of the products of conception (POC) is tested using karyotyping and FISH to detect chromosomal abnormalities.
    Chromosomal Microarray (CMA)Advanced method offering in-depth analysis to identify microdeletions and microduplications that may have caused the miscarriage.

    RPL Test Benefits

    • Identifies if pregnancy loss resulted from genetic/chromosomal abnormality
    • Offers insights for patients and physicians regarding the loss's cause
    • Creates a plan to enhance future pregnancy success

    Specifications

    • Sample type: Pulmonary and extra-pulmonary samples
    • Sequencing Method: Next-generation sequencing (NGS) culture free
    • Sensitivity: 100% (compared to LPA as reference standard)
    • Specificity: 98.04% (compared to LPA as reference standard)
    • Drugs Tested: 20+
    • Strain Typing: Yes
    • Turnaround Time: 10-14 days

    Advanced Methods

    Key Highlights of MedGenome Labs Recurrent Pregnancy Loss Test

    Highly Sensitive Detection

    Detects chromosomal deletions and duplications using a highly sensitive platform with over 99% sensitivity.

    Comprehensive Genome Coverage

    Enhanced Coverage Density

    Increased coverage density of (25 markers/100 kb) in 396 empirically selected regions relevant for prenatal research.

    What is Recurrent Pregnancy Loss (RPL Test)?

    Recurrent pregnancy loss, or RPL, is defined as the loss of two or more consecutive pregnancies before 20 weeks of gestation. RPL testing is a series of evaluations performed to determine the underlying causes of recurrent miscarriages. These tests help identify conditions that may affect a woman’s ability to carry a pregnancy to term.
    The goal of the RPL panel blood test is to assess factors such as hormonal imbalances, genetic abnormalities, or autoimmune disorders that may contribute to repeated pregnancy loss.

    What is the Difference Between Miscarriage and Recurrent Pregnancy Loss?

    AspectMiscarriage (Recurrent Pregnancy Loss (RPL))
    DefinitionLoss of a single pregnancy before 24 weeks of gestation.(Two or more consecutive pregnancy losses.)
    PrevalenceCommon; affects approximately 15–20% of pregnancies. (Less common but clinically significant.)
    CauseOften spontaneous with no underlying issue. (May suggest an underlying genetic, anatomical, or immunological issue.)
    Need for TestingUsually not investigated after one event. (Requires comprehensive evaluation through RPL testing.)
    MedGenome scientist conducting genetic testing and DNA test services in India

    How Common Is Recurrent Pregnancy Loss?

    Although miscarriage is common, recurrent pregnancy loss affects only about 1% – 2% of couples. Despite being relatively rare, RPL can be emotionally and physically challenging for those who experience it. Understanding the potential causes and undergoing proper RPL screening is essential for diagnosing and managing this condition effectively.

    What Are the Common Causes of Recurrent Pregnancy Loss?

    MedGenome clinician reviewing patient records to support genetic testing and DNA test in India

    What Role Do Chromosomal Abnormalities Play in Recurrent Pregnancy Loss?

    Chromosomal abnormalities are a leading cause of recurrent pregnancy loss. During conception, errors in the division of chromosomes can result in embryos with an abnormal number of chromosomes (aneuploidy). These abnormalities often lead to miscarriage because the embryo is not viable. Chromosomal testing, such as karyotyping, chromosomal microarray, low-pass whole genome sequencing etc., can identify if genetic factors have caused the pregnancy loss.

    What tests are available to Diagnose Recurrent Pregnancy Loss?

    Why You Need an RPL Panel Blood Test?

    Recurrent pregnancy loss (RPL) can stem from various causes, including endocrine, anatomical, immunological, infectious, environmental, and genetic factors. Here’s why undergoing RPL testing is crucial:

    • Identify the Cause: Understand the underlying factors contributing to RPL
    • Detect Chromosomal Abnormalities: Identify if the pregnancy loss was due to an abnormal chromosome number (aneuploidy).
    • Provide Valuable Insights: Offer information that helps both patients and physicians understand the underlying cause of the pregnancy loss.
    • Develop a Future Plan: Aid in creating a personalised plan to support a successful pregnancy in the future.

    An RPL panel blood test plays a pivotal role in diagnosing and managing the reasons behind recurrent miscarriages, ultimately improving the chances of a healthy pregnancy.

    How Does the RPL Test Work?

    Who Should Consider RPL Testing?

    What Does RPL Test Results Mean?

    Why Choose MedGenome Labs for RPL Testing?

    FAQs

    • How much does the RPL Test cost in India?

      The RPL (Recurrent Pregnancy Loss) Test cost in India can vary depending on the location and healthcare provider. It is recommended to contact MedGenome Labs or other specific healthcare providers for accurate pricing information.

    • What sample is used for the RPL Test?

      The RPL test typically requires a blood sample from the patient. In some cases, additional samples, such as tissue from a miscarriage, may be analysed to gather more information.

    • What Is the Turnaround Time for the RPL Test?

      The turnaround time for RPL testing varies based on the specific tests performed and the laboratory’s workload.

    • Are there risks associated with the RPL Test?

      The RPL test is a non-invasive procedure involving a blood draw, so there are minimal risks associated with it. Some individuals may experience mild discomfort or bruising at the site where the blood is drawn.

    • How often should couples with a history of recurrent pregnancy loss consider genetic counselling?

      Couples with a history of recurrent pregnancy loss should consider genetic counselling after two or more miscarriages, especially if there are known genetic factors or if the RPL screening suggests chromosomal abnormalities. Genetic counselling can provide valuable guidance on further testing and potential treatment options.

    Get Genetic Counseling with
    MedGenome Genetic Experts

    Please share your details with our genetic experts to answer your queries

      MedGenome Patient Stories

      MedGenome in the News

      September 12, 2023 5 mins read

      NIPT for Twins: What You Should Know?

      December 30, 2021 5 mins read

      Unlocking Insights: Genetic Tests Every Woman Should Consider

      August 21, 2019 5 mins read

      A new technology for eradicating TB – MedGenome Labs – Mathrubhumi

      Download SPIT SEQ Brochures

      Discover how we can support your wellness through our diverse range of tests. Our brochure provides an in-depth look at our commitment to quality care and patient satisfaction.

      Please share your details to get
      in touch with our experts.