Hyperfertility & recurrent miscarriage — private doctor recommendations / NHS experiences?

[Shosh2024]

TW: Recurrent miscarriage / loss

Hi all, looking for some advice and experiences.

I seem to be hyperfertile — I’ve conceived on the first try four times now, but the last three have ended in early miscarriages.

I’ve just turned 39 and am now eligible for an NHS Recurrent Miscarriage Clinic referral. Basic GP bloods after my second loss came back normal, so I suspect I'm dealing with a mix of age-related egg quality and a "super-receptive" uterine lining that implants non-viable embryos instead of filtering them out.

We have ruled out IVF, so I am specifically looking at managing hyperfertility, improving egg quality, and supporting the uterine lining.

I'd be so grateful for feedback on two things:

1. Private Recommendations: Can anyone recommend London-based consultants (or clinics like Coventry/Warwick for uterine lining profiling) who actively test for and treat hyperfertility/receptive lining issues?
2. NHS Experiences: Did your NHS clinic recognize hyperfertility/implantation selectivity, or did you feel you had to push for specific supportive care (e.g., progesterone, steroids, or blood thinners)?

I worry about wasting precious time on basic NHS waitlists if they won't address the selectivity side. Any positive stories or advice would mean the world right now.

Thanks in advance.

I had this - basically got pregnant every month and lost them by 5 weeks. It was upsetting, so I sympathise. I decided to stop testing so early for my own sanity, and on the fifth month I started taking low dose aspirin for the first trimester on the advice of my GP, my pregnancy stuck and I had DS.
The same thing happened when I was trying again, but the second time around I miscarried at 14 weeks, which nearly broke me. Luckily, I got pregnant again the next month which stuck and I had DD. (I took low dose aspirin again).
Now I am definite that I don’t want any more children I am being VERY careful with contraception.
It is heartbreaking to go through, and I decided to talk about it with friends and family at the time, rather than keep it to myself. It really helped.
I hope things work out for you.

Thank you.
Do you know why the GP advised to take low dose aspirin? Was it based on any blood tests, or just "try just in case"?
I thought aspirin was mainly to treat blood clotting, which I was tested for and negative.

It was 16 years ago, so thinking has probably changed. I wasn’t tested for anything, the GP said that he had read about low dose aspirin having a good success rate in women who lose a number of pregnancies very early. He also said that it wouldn’t do any harm, (but subsequent research may have found differently.)
I stopped taking it after my 12 weeks scan. Everything else in my pregnancy was straightforward and easy - no concerns at all from scans and blood tests.

I did the womb lining biopsy test at the implantation clinic in Coventry. It's expensive and there's a waiting list but it was the only thing that gave me a clue as to what was going on, having done all tests offered by the recurring miscarriage clinic. In short, results showed that I have a receptive endometrium but it is also very prone to breaking / doesn't strengthen as it should to hold a pregnancy. I am 40 and currently in n my third trimester, following 4 back to back losses and no living children.
The test is expensive but worth it if you feel like you don't yet have the answers you need. X

Congrats on your pregnancy, so glad to hear it worked out! How was the issue addressed? Did you do anything differently in this pregnancy?

thank you! And yes, I followed the treatment they suggested, which included taking a drug that increases stem cells in the womb as a desirable side effect. There's an article on the bbc news website about it x