Miscarriage
When pregnancy ends unexpectedly
Miscarriage is common and can be an incredibly difficult experience. Many women are left with uncertainty about what happened and concern about future pregnancies.
You deserve both compassionate care and expert assessment.
Specialist early pregnancy ultrasound
I completed advanced training in early pregnancy and gynaecological ultrasound at University College London Hospitals (UCLH), based within one of the busiest and most complex early pregnancy units in the UK.
This training focused on:
Differentiating normal from abnormal early pregnancy
Detecting ectopic pregnancy early
Assessing retained pregnancy tissue
Identifying uterine and pelvic factors that contribute to miscarriage
My training also focused on the safe, evidence-based management of early pregnancy complications, including miscarriage — with an emphasis on prioritising expectant (natural) management whenever it is medically safe and aligned with your wishes.
This level of expertise allows safer, more confident decision-making during a very vulnerable time.
Understanding why miscarriage happens
Most miscarriages happen because of random chromosomal changes in the embryo that prevent normal development. This is no one’s fault and is something that cannot be prevented.
Occasionally, underlying factors such as uterine shape, fibroids, hormonal or inflammatory conditions, or pelvic disease can increase miscarriage risk.
When miscarriage is recurrent or when there are medical reasons to investigate further, I can assess for these and guide appropriate testing and treatment.
Management of early pregnancy loss
Early pregnancy loss can take several forms, including:
Early embryonic demise (also called missed miscarriage)
Incomplete miscarriage
Retained pregnancy tissue
There is rarely one “right” approach. Management depends on what is happening medically and what feels right for you.
Options may include:
Expectant management (allowing the miscarriage to progress naturally)
Medication to help the uterus pass pregnancy tissue
Surgical management, including:
Ultrasound-guided suction
Hysteroscopic removal of retained tissue when appropriate
All options are discussed carefully, including what to expect physically and emotionally, so you can make an informed decision.
Looking ahead to future pregnancies
After miscarriage, many women worry about their chances of a healthy pregnancy.
I can provide advice on:
Optimising general health
Timing of future attempts
Managing underlying gynaecological or hormonal factors
When further investigation is, and isn’t, needed
For most women, the outlook for future pregnancy is very good, and thoughtful care can help reduce uncertainty and support recovery.
Related services
Book an appointment
If you are experiencing miscarriage or concerns in early pregnancy, you can book a consultation online.