Recurrent Pregnancy Loss

The Recurrent Pregnancy Loss Program at TRIO is a comprehensive program that focuses on all aspects of recurrent pregnancy loss. At TRIO, we work with patients who have a history of two or more consecutive pregnancy losses in the first trimester, or any pregnancy loss after 15 weeks gestation. Our program is unique because it offers a systematic approach to the evaluation and treatment of recurrent pregnancy loss, including a personalized management strategy for each patient or couple to optimize the probability of a successful pregnancy.

The RPL Team

Dr. Carl Laskin and Dr. Sony Sierra head up the RPL program. Both doctors are specialists in the treatment and management of recurrent pregnancy loss.


 Dr. Carl Laskin


Dr. Sony Sierra

First Appointment

First Appointment

We need to know your situation better. At your first appointment, we’ll take a complete medical history for you and your partner, if you have one. This will include an evaluation of any known genetic, hormonal or anatomic causes of recurrent pregnancy loss. This visit is covered by OHIP.

Testing Phase

Testing Phase

We will do our own medical evaluation, including a clinical assessment and further testing that may include but is not limited to:

- Hormonal testing -
- Endometrial lining evaluation -
- Coagulation and immune testing -
- Pre-implantation genetic screening (PGS) -

Follow up with MD

Follow up with MD

Your doctor will review your test results with you and recommend an individualized treatment plan that may involve one or more of the following:



In addition to medical interventions, the program provides support and counselling by professionals with specific expertise in reproductive issues. These counsellors are well trained to provide couples and individuals the support they need as well as the opportunity to work through the psychological issues inherent in this specific challenge.

Follow Up Three Options

1. Monitoring

If your treatment plan involves trying to conceive naturally, you will have a pregnancy test to confirm this. If you are pregnant, your TRIO doctor and their team will work closely with you to monitor your early pregnancy. You will continue to be followed beyond your first trimester.

2. Re-Evaluation

If your pregnancy test is negative, you and your physician will re-evaluate your treatment plan. This could include a more detailed fertility evaluation and alternative treatments such as

3. Other Approaches

We are actively involved in evaluating the use of a range of elements that may be helpful to couples with a history of recurrent pregnancy loss:

- New technologies -
- Clinical trials -
- Research studies -
- Experimental modalities -




Main Location:
TRIO Fertility
655 Bay Street
Toronto, Ontario
11th and 18th floors