When you’ve experienced repeated miscarriages or months of failed conception attempts, “just keep trying” isn’t helpful advice — you deserve clarity.
At Cheval Wellness, we provide a compassionate and science-driven approach to advanced reproductive diagnostics.
Our goal is to identify the root causes of recurrent pregnancy loss (RPL), hormonal imbalance, or implantation failure — empowering you to move forward with informed next steps and renewed confidence.
This program is designed for women and couples who have faced:
By addressing these complex but common barriers early, we help optimize your body — and your plan — before moving to high-complexity fertility treatments.
Repeated miscarriage can result from a range of factors — hormonal, genetic, autoimmune, or structural.
Our RPL panel evaluates each of these areas to provide a clear, data-driven foundation for your next steps.
| Category | Tests Performed | Purpose |
|---|---|---|
|
Hormonal Balance |
Progesterone, Estradiol, Thyroid panel (TSH, Free T3, Free T4, antibodies) |
Ensures optimal luteal support and thyroid health for implantation
|
|
Clotting & Autoimmune Factors
|
Antiphospholipid antibody panel, Factor V Leiden, Prothrombin mutation, Lupus anticoagulant |
Detects blood-clotting or immune issues that can disrupt early pregnancy |
|
Genetic Screening |
Karyotype testing for both partners (ordered through lab partner) |
Identifies chromosomal translocations or abnormalities that may cause recurrent loss |
|
Nutritional & Inflammatory Markers |
Vitamin D, B12, homocysteine, CRP |
Addresses systemic inflammation and nutrient deficiencies tied to miscarriage risk |
After testing, your provider explains each result in context — clarifying whether a finding is clinically significant, borderline, or benign — and builds a personalized plan that may include hormone therapy, anti-inflammatory support, or coordinated referral to a reproductive endocrinologist (RE).
Infertility is not solely a women’s issue — male factors contribute to roughly 40 percent of cases.
At Cheval Wellness, we screen for these concerns early to avoid unnecessary delays or procedures.
This proactive approach ensures that both partners receive balanced attention — improving overall fertility outcomes.
Structural and inflammatory conditions such as endometriosis and uterine fibroids can significantly affect implantation and embryo development.
While surgical management may fall outside primary NP scope, Cheval Wellness plays a critical diagnostic and preparatory role in identifying and managing these conditions early.
This integrated model ensures you enter surgery (if needed) with stable hormones and an optimized uterine environment — improving recovery and future conception potential.
Assessing pain patterns, cycle irregularities, or heavy bleeding that may suggest endometriosis or fibroids.
Evaluating estrogen dominance, progesterone balance, and markers of inflammation.
Partnering with gynecologic specialists for visualization of fibroids, cysts, or endometrial lesions.
For patients requiring excision or myomectomy, we coordinate care with reproductive surgeons and continue pre- and post-operative hormonal optimization.
Once all diagnostics are complete, we compile your results into a comprehensive fertility summary, outlining:
Our patients often share that simply understanding why loss occurred brings a profound sense of relief — and renewed hope for what comes next.
If testing indicates advanced reproductive pathology — such as severe tubal blockage, repeated failed ovulation induction, or significant chromosomal issues — we refer promptly to a Reproductive Endocrinologist (RE) for:
We remain an active part of your care team, coordinating hormonal and nutritional optimization before, during, and after specialist treatment.
If you’ve experienced repeated loss or unexplained infertility, you don’t have to navigate it alone.
The Recurrent Loss & Diagnostic Workup Program at Cheval Wellness helps uncover what’s really happening — and provides the next steps toward healing and hope.
