Understanding Pregnancy Loss: Common Causes and Myths
Dr. Marika Raff • July 21, 2025
Pregnancy loss, commonly referred to as miscarriage, is a deeply personal and often misunderstood experience. At Caperton Fertility Institute, with locations in Albuquerque, New Mexico, and El Paso, Texas, we believe that compassionate care begins with understanding. If you have experienced a loss or are navigating concerns about pregnancy, knowing the common causes and debunking persistent myths can provide comfort, clarity, and renewed hope.

What Are the Most Common Causes of Pregnancy Loss?
Miscarriage is more common than many people realize, affecting approximately 10% to 20% of known pregnancies. Most occur during the first trimester, and in many cases, they are beyond anyone's control. Here are some of the leading causes:
1. Chromosomal AbnormalitiesThe most frequent cause of early pregnancy loss is genetic abnormalities during fertilization. These anomalies prevent the embryo from developing normally and are typically not linked to anything the parents did or didn’t do.
2. Hormonal ImbalancesConditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or luteal phase defects can disrupt hormonal support essential for a healthy pregnancy.
3. Uterine or Cervical IssuesStructural concerns, including fibroids, polyps, or a septate uterus, can contribute to recurrent miscarriage or second-trimester losses.
4. Autoimmune DisordersConditions like lupus or antiphospholipid syndrome (APS) may cause the immune system to mistakenly target the developing embryo, leading to pregnancy loss.
5. InfectionsCertain infections, such as listeria, cytomegalovirus, and toxoplasmosis, may increase miscarriage risk if contracted during early pregnancy.
6. Lifestyle and Health FactorsSmoking, heavy alcohol use, and illicit drug use elevate the risk. Unmanaged chronic health conditions like diabetes or hypertension can also contribute.
Common Myths About Pregnancy Loss
Despite its frequency, miscarriage remains a topic filled with stigma and misinformation. Let’s dispel some of the most common myths:
Myth: Stress Causes MiscarriageEveryday stress is a part of life and is not linked to miscarriage. While chronic, extreme stress can affect overall health, it’s not a primary cause of pregnancy loss.
Myth: Exercise or Lifting Causes LossModerate physical activity is generally safe and often encouraged during pregnancy. Always follow your doctor’s guidance, but exercise alone is not a known cause of miscarriage.
Myth: Miscarriage Is Always PreventableMost miscarriages are caused by genetic or biological factors that cannot be controlled. It is not your fault.
Myth: It Only Happens OnceWhile many people experience only one loss, some have recurrent miscarriages, which may signal treatable underlying conditions.
Myth: You Must Wait Months to Try AgainPhysically, many individuals can begin trying again after one normal menstrual cycle, though emotional readiness is unique to each person. Always consult with your fertility specialist.
You Are Not Alone
Experiencing pregnancy loss can feel isolating, but support and solutions are available. At Caperton Fertility Institute, we offer comprehensive evaluations, compassionate care, and advanced fertility treatments to uncover the causes and help guide your next steps.
Whether you're in Albuquerque or El Paso, our fertility specialists are here to support your path to parenthood. Contact us today to schedule a consultation.
Tags:
Pregnancy Loss, Miscarriage, Recurrent Miscarriage, Fertility Myths, Caperton Fertility Institute, Albuquerque Fertility, El Paso Fertility, IVF Support, PCOS, Autoimmune Pregnancy

When people talk about IVF, the focus is often on the medical side—medications, timelines, lab work, and success rates. What’s discussed far less often is the emotional experience , which can be just as intense as the physical process. If you’re feeling overwhelmed, conflicted, hopeful one moment and discouraged the next, you’re not doing IVF “wrong.” These emotional shifts are common—and normal. Here’s what many patients experience emotionally during IVF, even if no one warned them ahead of time. The Emotional Whiplash of Hope and Fear IVF often brings a unique combination of optimism and anxiety. Starting treatment can feel empowering—finally, something is happening. At the same time, that hope may feel fragile, especially if you’ve experienced infertility, loss, or disappointment before. Many patients describe: Feeling excited and terrified at the same time Guarding their optimism to avoid heartbreak Struggling to plan for the future because outcomes feel uncertain This emotional push and pull can be exhausting, and it’s one of the most common aspects of IVF that people don’t expect. Loss of Control (and Why It’s So Hard) IVF places much of the process outside your control—medication schedules, hormone levels, test results, and timing are often dictated by your body and the clinic. Even highly organized, resilient people may feel: Frustrated by last-minute changes Anxious while waiting for updates or phone calls Disconnected from their own body Feeling out of control can be one of the most emotionally challenging parts of IVF, especially for patients used to being proactive problem-solvers. The Two-Week Wait: An Emotional Rollercoaster The time between embryo transfer and pregnancy testing—often called the two-week wait—is widely considered the most emotionally difficult phase of IVF. During this time, patients may experience: Hyper-awareness of every physical sensation Replaying every step of the cycle in their mind Mood swings between confidence and despair Fear of testing too early—or testing at all This waiting period can feel isolating and all-consuming, even when everything medically has gone well. Unexpected Grief (Even During Treatment) IVF can bring up grief in unexpected ways—not just if a cycle fails, but throughout the process. You might grieve: The loss of a “normal” conception experience The version of parenthood you imagined Feeling carefree about pregnancy announcements or baby showers Even successful cycles don’t erase this grief. Many patients feel guilty for mourning while still feeling hopeful—but both emotions can exist at the same time. Relationship Strain and Emotional Distance IVF can impact relationships in ways couples don’t anticipate. Partners may cope differently—one may want to talk constantly, while the other withdraws. Common experiences include: Feeling emotionally out of sync with your partner Pressure to stay “strong” for each other Misunderstandings fueled by stress and fatigue Open communication and compassion—for yourself and your partner—are essential during treatment. You Are Not Weak for Feeling This Way One of the hardest emotional burdens of IVF is the belief that you should be handling it better. Many patients silently wonder why they feel so overwhelmed. The truth is: IVF is emotionally demanding . Feeling anxious, sad, angry, numb, or hopeful—sometimes all in the same day—does not mean you’re failing. It means you’re human. Supporting Your Emotional Well-Being During IVF While you can’t eliminate the emotional challenges of IVF, support can make a meaningful difference. Many patients benefit from: Counseling or fertility-focused therapy Support groups or trusted friends Mindfulness, journaling, or gentle movement Setting boundaries around social media and conversations Most importantly, give yourself permission to feel what you feel—without judgment. You Don’t Have to Carry This Alone IVF is more than a medical treatment; it’s an emotional journey that deserves understanding and compassion. If you’re struggling emotionally during IVF, know that you are not alone—and support is available. Your feelings are valid. Your experience matters. And taking care of your emotional health is just as important as every injection, appointment, and lab result along the way.

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