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Experiencing more than one miscarriage is emotionally and physically devastating, and it’s completely normal to feel overwhelmed or fearful about trying again. While miscarriage is common, recurrent miscarriage creates a unique kind of heartache, often intensified by uncertainty and unanswered questions. You deserve space, compassion, and clarity — and while not every loss has an identifiable cause, learning more about possible factors can help you feel more informed and supported.

If you’ve experienced repeated pregnancy loss, you might feel very alone, but you most certainly are not. Understanding potential causes, discussing available testing, and partnering with a compassionate gynecologist can help you move forward with greater confidence and support.

Common Causes of Recurrent Miscarriages

Many people blame themselves, but recurrent miscarriages are almost always linked to underlying medical factors rather than something you did or did not do. Some of the possible causes include:

Genetic Factors

Chromosomal abnormalities account for many early miscarriages. Sometimes an embryo receives too many or too few chromosomes due to a random event in early cell division. In other situations, one parent may carry a balanced chromosomal rearrangement that doesn’t affect their own health but can increase the likelihood of miscarriage.

Hormonal or Endocrine Issues

Conditions such as thyroid disorders, uncontrolled diabetes, or polycystic ovary syndrome (PCOS) may affect ovulation, implantation, or early pregnancy development. Managing these conditions with your care team may support future pregnancies.

Uterine or Structural Differences

Physical differences in the uterus — such as a uterine septum, fibroids, polyps, or scarring from previous surgeries or infections — can sometimes make it harder for a pregnancy to continue. When identified, your gynecologist can discuss whether treatment may be helpful based on your individual situation.

Diagnostic Testing After Multiple Losses

If you’ve had two or more miscarriages, your doctor may recommend an evaluation to look for possible explanations. This may include:

• Genetic testing for you and your partner
• Blood tests to check hormones, thyroid function, or clotting factors
• Ultrasound or hysteroscopy to look at the uterine structure
• Testing for autoimmune or immune-related conditions

Not every case reveals a clear cause, and that uncertainty can be incredibly difficult. Even so, testing often provides meaningful information that helps guide next steps and support your reproductive health moving forward.

Supporting Your Emotional and Physical Healing

Miscarriage is both a medical event and a profoundly emotional experience. Give yourself permission to grieve in your own way and at your own pace. Many people find comfort in:

• Support groups or counseling
• Open conversations with a partner or loved ones
• Mind–body practices like gentle movement, meditation, or journaling
• Follow-up visits with your gynecologist to discuss questions or concerns

A miscarriage can feel isolating, but you don’t have to navigate the experience alone. Your emotional well-being is an essential part of healing, and reaching out for support is an important and courageous step.

How Your Gynecologist Can Help You Move Forward

A supportive gynecologist can help you explore next steps based on your unique history and needs. Depending on what testing or evaluation reveals, this may include discussing hormonal support, addressing structural findings, coordinating additional evaluations, or connecting you with fertility resources if needed.

Even when a specific cause is not identified, many people do go on to have healthy pregnancies. While no one can predict the future or guarantee outcomes, having the right information and care can help you feel more supported in whatever comes next.

You Deserve Answers, Support, and Hope

Recurrent miscarriage is never something you should have to navigate in silence or without compassionate care. Through thoughtful evaluation, emotional support, and a trusted relationship with your gynecologist, many patients find greater understanding and renewed strength as they consider their future.

If you’re seeking guidance after multiple losses, our care team at Triangle Premier Women’s Health, at (919) 934-3015 is here to listen, support you, and help you explore your options at a pace that feels right for you.

Everyone feels tired from time to time. But if you’re constantly exhausted no matter how much sleep you get, it may be a sign that something deeper is going on. One of the most overlooked causes of chronic fatigue in women is a hormonal imbalance.

Hormones are powerful chemical messengers that regulate everything from energy and mood to sleep, metabolism, and even body temperature. When they’re even slightly out of balance, it can leave you dragging through the day, wondering why your usual healthy habits aren’t making a difference.

Let’s look at how hormones influence your energy — and what you can do if fatigue has become your “new normal.”

Common Hormones That Impact Energy Levels

Several hormones directly affect how energized—or drained—you feel:

• Thyroid hormones: An underactive thyroid (hypothyroidism) slows your metabolism, often causing fatigue, weight gain, and brain fog.
• Cortisol: Known as the “stress hormone,” cortisol helps regulate energy throughout the day. Chronic stress or adrenal dysfunction can throw levels off balance, leaving you feeling wired one moment and depleted the next.
• Estrogen & progesterone: These reproductive hormones fluctuate during the menstrual cycle, perimenopause, and menopause, impacting sleep quality, stamina, and mood.
• Insulin: Poor blood sugar regulation and insulin resistance can trigger midday crashes, cravings, and energy swings.

Signs Your Fatigue Could Be Hormone-Related

Hormonal fatigue rarely comes alone. You may notice additional signs such as:

• Feeling exhausted despite 7-8 hours of sleep
• Low motivation, brain fog, or difficulty concentrating
• Mood swings, anxiety, or irritability
• Unexplained weight gain or difficulty losing weight
• Irregular periods or worsening PMS
• Sensitivity to cold, hair thinning, or low libido

If these symptoms sound familiar, it’s worth exploring whether your hormones could be playing a role.

How Hormones Affect You at Different Life Stages

Hormonal shifts look different at each stage of a woman’s life:

• Young adults: Conditions like PCOS (polycystic ovary syndrome) or thyroid disorders may cause persistent fatigue early in adulthood.
• Midlife women: Perimenopause brings fluctuating estrogen and progesterone, which can disrupt sleep, mood, and energy.
• Postpartum: After childbirth, estrogen levels drop dramatically, and thyroid changes are common. Fatigue may last beyond the typical “new mom tiredness.”
• Menopause: Declining estrogen often contributes to poor sleep, hot flashes, joint discomfort, and brain fog.

How a GYN Expert Can Help

If fatigue feels chronic, unexplained, or disruptive, a women’s health specialist can help uncover the root cause. At your visit, your provider may recommend:

• Hormone bloodwork to check thyroid, estrogen, progesterone, and cortisol levels
• Thyroid and metabolic panels to look for imbalances
• A detailed review of your symptoms in the context of your menstrual history, stress levels, and lifestyle
• Additional testing to rule out other common causes of fatigue, such as anemia, vitamin deficiencies, or autoimmune conditions

Treatment Options for Hormonal Imbalances

The encouraging news? Hormonal imbalances are treatable. Depending on your needs, treatment may include:

• Lifestyle adjustments: nutrition support, exercise, stress reduction, and better sleep hygiene
• Hormone therapy: such as hormone replacement for menopause or thyroid medication for hypothyroidism
• Supplements or targeted therapies: recommended by your provider for adrenal support or menstrual cycle regulation
• Ongoing monitoring: to adjust treatment as your body and hormones change over time

Every plan should be personalized. What works for one woman may not work for another, which is why working with a knowledgeable provider is so important.

A Whole-Person Approach to Your Health

If you’re tired of feeling tired, don’t ignore the signals. Extreme fatigue isn’t a normal part of getting older or being busy, so it may be your body’s way of telling you something is out of balance.

At Triangle Premier Women’s Health, we take a whole-person approach to women’s health. That means looking at your hormones, lifestyle, and overall wellness together. With the right testing, treatment, and support, it’s absolutely possible to restore your energy and feel like yourself again.

Schedule a consultation with us today at (919) 934-3015 to take the first step toward better energy, balance, and health.

If your doctor has recommended a hysteroscopy, you may have questions—or feel a little nervous. That’s completely normal! The good news is that this procedure is safe, quick, and minimally invasive, and it can provide helpful answers and effective treatment for many uterine concerns.

Here’s what you need to know about why hysteroscopy is done, what to expect at each step, and how to prepare for a smooth experience.

What Is a Hysteroscopy?

A hysteroscopy is a procedure that allows your doctor to look inside your uterus using a thin, lighted instrument called a hysteroscope. It’s inserted through the vagina and cervix, so there are no incisions required.

This tool helps your provider diagnose or treat uterine issues with precision. In some cases, your doctor may even use tiny instruments during the same procedure to treat the problem immediately.

Why Is a Hysteroscopy Performed?

Your OBGYN may recommend a hysteroscopy for several reasons, including:

• Investigating abnormal or heavy menstrual bleeding
• Evaluating postmenopausal bleeding
• Checking or removing uterine polyps or fibroids
• Diagnosing or treating recurrent miscarriage
• Locating or removing an IUD
• Performing endometrial ablation or removing adhesions (scar tissue)

This procedure provides a clear, detailed view of the uterine lining, helping your doctor make informed decisions about your care.

What to Expect Before the Procedure

Most hysteroscopies are done on an outpatient basis, meaning you’ll go home the same day. Depending on the type of procedure, it may be performed in your doctor’s office or a surgical center.

Before your hysteroscopy, you may be asked to:

• Avoid eating or drinking for several hours (if anesthesia is used)
• Take prescribed medication to relax your cervix
• Arrange for a ride home, especially if sedation is involved

Your provider will explain any prep instructions in detail.

What Happens During a Hysteroscopy?

• You’ll lie on an exam table, similar to a pelvic exam
• The hysteroscope is gently inserted through the vagina and cervix
• Your uterus may be expanded slightly with saline or gas to improve visibility
• Your doctor will examine the uterine lining and perform any necessary procedures

The process typically takes 15–30 minutes. Some patients feel mild cramping, but many tolerate the procedure well, especially with local or light sedation.

What About Recovery?

Recovery is usually quick and easy. You may experience:

• Mild cramping or spotting for a day or two
• Light discharge for a few days
• Slight fatigue if anesthesia was used

You can usually return to work and normal activities within 24–48 hours. Avoid intercourse, tampon use, or heavy exercise for a few days as advised by your doctor.

When to Contact Your Doctor

While complications are rare, you should call your provider if you experience:

• Heavy bleeding (soaking more than one pad per hour)
• Fever over 100.4°F
• Severe abdominal pain
• Foul-smelling discharge

Your comfort and safety matter, don’t hesitate to reach out with any questions during recovery.

Hysteroscopy: A Helpful Step Toward Clarity and Comfort

Whether you’re dealing with heavy periods, unexplained bleeding, or fertility concerns, a hysteroscopy can be an important tool in getting the answers and relief you need.

Have Questions? We’re Here to Help

If you’ve been recommended for a hysteroscopy or want to learn more about your options, schedule a consultation with Triangle Premier Women’s Health at (919) 934-3015  Your health deserves clarity, compassion, and expert care.

Do you find yourself locating the nearest bathroom when you are out with friends? Do you make it a habit to always use the bathroom before going anywhere? Are wearing leakproof panties now part of your daily attire? If so, you may be suffering from an overactive bladder. There is more you can do to manage this problem. Here are 12 effective tips for managing overactive bladder.

Continue reading “12 Effective Tips for Managing Overactive Bladder” →