Author: Atlanta Women's Obstetrics & Gynecology, PC

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 Atlanta Women’s Obstetrics & Gynecology, at (404) 352-3616 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 Atlanta Women’s Obstetrics & Gynecology, 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 (404) 352-3616 to take the first step toward better energy, balance, and health.

Pregnancy is a time of excitement and change, but it’s also a time to pay close attention to your body. While many symptoms are completely normal (hello, nausea and fatigue!), some may signal a more serious issue that warrants medical attention.

Moms-to-be want to keep stress levels manageable and reasonably low during their pregnancy. But without fretting or worrying, it’s also important to treat red  flags with the care and attention they deserve. Some of the warning signs below could be a natural part of your pregnancy, but if you’re not sure, it’s always best to seek professional insight to make sure you and baby are staying safe and healthy.

Talk to your doctor right away if you experience any of the following:

1. Heavy Bleeding

Spotting can be normal in early stages of pregnancy, but heavy bleeding (especially with cramping or clots) may signal a miscarriage, ectopic pregnancy, or placental problem. Always call your provider right away if you experience bleeding.

2. Severe Abdominal Pain

Mild aches and stretching sensations are common, but sharp or intense pain, especially on one side, could indicate a serious issue like ectopic pregnancy or placental abruption. Don’t wait to get it checked.

3. Severe or Persistent Headaches

Occasional headaches are common, but frequent, severe, or sudden headaches could be a sign of high blood pressure or preeclampsia, especially if paired with vision changes or swelling.

4. Vision Changes

Blurred vision, flashing lights, or seeing spots may also be warning signs of preeclampsia. It’s important to let your provider know if your eyesight changes suddenly at any point during pregnancy.

5. Sudden Swelling

Some swelling in the feet or ankles is normal, especially later in pregnancy. But sudden swelling in the hands, face, or around the eyes may signal preeclampsia and should be reported immediately.

6. Decreased Fetal Movement

As your baby grows, you’ll get used to their kicks and rolls. A noticeable decrease in movement, especially after 28 weeks, could mean something’s wrong. If you’re concerned, call your doctor right away.

7. High Fever

A fever over 100.4°F (38°C) during pregnancy may be a sign of infection, which can be dangerous for you and your baby. Always reach out to your healthcare provider if you develop a high temperature.

8. Painful Urination

Burning or pain while peeing may indicate a urinary tract infection (UTI), which is more common in pregnancy. If untreated, UTIs can lead to kidney infections and preterm labor, so don’t delay care.

9. Severe Nausea and Vomiting

While morning sickness is normal, unrelenting nausea and vomiting (especially if you can’t keep food or fluids down) may lead to dehydration and a condition called hyperemesis gravidarum. Your doctor can help manage it.

10. Fluid Leaking

If you notice a sudden gush or slow trickle of fluid, it could be your water breaking prematurely, even if you’re not full term. Call your OB-GYN right away, especially if you’re not yet 37 weeks.

Trust Your Instincts—No Concern Is Too Small

When you’re pregnant, even minor changes can feel alarming. If something doesn’t feel right, don’t hesitate to contact your OB-GYN. Early detection and timely care can prevent complications and protect the health of you and your baby.

You know your body best, and your peace of mind matters! Contact Atlanta Women’s Obstetrics & Gynecology at (404) 352-3616 today if you have questions or want to talk more about warning signs during pregnancy.

Winter brings colder temperatures, shorter days, and often, an increase in colds and flu. For those who are pregnant, protecting the immune system during these months is especially important.

Pregnancy naturally makes your immune system work harder, so taking extra steps to stay healthy can be beneficial for both you and your growing baby. In this guide, we’re sharing essential tips on how to keep your immune system strong, promote wellness, and stay resilient throughout the winter!

Continue reading “How to Protect Your Immune System in Winter: Pregnancy Edition” →