Initial Evaluation

• Review your medical, obstetric, and family history to identify risk factors.
• Conduct a physical examination to check for any health issues.

Blood Tests

• Test for hormonal imbalances (e.g., thyroid function, prolactin levels).
• Screen for infections and autoimmune conditions like antiphospholipid syndrome.

Genetic Testing

• Consider karyotyping for both partners to detect chromosomal abnormalities.

Uterine Assessment

• Use imaging tests such as pelvic ultrasound or hysterosalpingography to evaluate uterine structure.

Additional Specialized Tests

• Evaluate for blood clotting disorders if indicated.
• Consult with a reproductive endocrinologist or maternal-fetal medicine specialist.

Emotional Support and Counseling

• Seek psychological support during this process.

Next Steps

• Use test results to guide treatment options and future pregnancy planning.