Recurrent Early Pregnancy Loss (RPL) Program

Helping You Fulfill Your Dreams of Having a Baby

Recurrent early pregnancy loss (also known as RPL) can be devastating. If you have had 2 or more consecutive miscarriages, you may worry if you will ever have the baby of your dreams — or whether you should keep trying.

The treatment for recurrent early miscarriages is unique from other fertility approaches. It requires an unparalleled level of expertise that comes from decades of experience, specialized training, and advanced monitoring protocols. 

That’s where TRIO’s RPL program comes in.

We understand the pain that you have gone through while trying to grow your family. With 40 years of combined experience and over 6,000 patient cases, TRIO offers the most comprehensive RPL program in the country. Dr. Sony Sierra leads our caring and compassionate reproductive team as we provide hope to more RPL patients than any other clinic in Canada.

The path to parenthood may not always be easy or smooth; with the right support, growing your family can be possible.

“The gynecologic, endocrinology and autoimmune perspectives that are brought to the treatment of recurrent pregnancy loss in this program make it the only one of its kind in Canada."

Dr. Sony Sierra, MD, FRCSC, REI
Reproductive Endocrinology & Infertility Specialist, TRIO

Why Choose TRIO's RPL Program?

There are many underlying reasons why recurrent pregnancy loss occurs. In most cases, there is nothing that you should or could have done differently. Unfortunately, with each subsequent miscarriage, the risk of having another loss increases. What you need is a respected clinic to conduct a thorough investigation, determine a diagnosis, and provide a detailed fertility plan.

Our RPL program uses a systematic approach to assess every individual or couple. We look deeper at the reproductive, hormonal, and autoimmune factors that can contribute to pregnancy loss. This involves personalized testing, monitoring, and treatment to optimize your chances of having a healthy pregnancy. 

You receive care from the top RPL specialists in the country. Dr. Sony Sierra has dedicated much of her career to giving RPL patients hope and helping them grow their families. Alongside her is a hand-picked team of reproductive endocrinologists, fertility nurses, preconception naturopaths, and counsellors.

You benefit from an industry-leading RPL program. It is based on the Treatment and Evaluation of Recurrent Miscarriage (TERM) program, founded by Dr. Carl Laskin. The program has contributed to multiple peer-reviewed articles, the development of standards of care, well-established research, and a solid track record of success.

If you're a candidate, our RPL program aims to support you in your future pregnancy working towards an excellent chance to take home a baby.

How it Works

You don’t want to give up on becoming a parent — and we believe you shouldn’t have to. After your initial assessment and thorough testing, your treatment plan may include:

EARLY SUPPORTIVE CAREWe provide a thorough evaluation, investigations and the formulation of a personalized treatment plan to monitor your next pregnancy. This can include, but is not limited to, cycle monitoring, timed intercourse, hormonal support and monitoring, In Vitro Fertilization (IVF) and PGT-A, if appropriate. Above all, we do everything with care and compassion.

ONGOING MONITORING: We provide close surveillance of your early pregnancy, such as frequent ultrasounds and ongoing access to your medical support team. If you have a history of 2 or more pregnancy losses, you will benefit from early monitoring, regardless of how the pregnancy is conceived.  

RE-EVALUATION: If your pregnancy test is negative, you and your physician will re-evaluate your personalized treatment plan. This could include a more detailed fertility evaluation and alternative treatments, such as cycle monitoring or In Vitro Fertilization (IVF).

OTHER APPROACHES: We are actively involved in evaluating the use of experimental approaches which may be helpful to couples with a history of recurrent early pregnancy loss. This could include a more detailed fertility evaluation and alternative treatments.

"We look at elements that are standards of practice in other areas of medicine and apply them in new and innovative ways to find answers for our patients who experience recurrent pregnancy loss.”

Dr. Carl Laskin MD, FRCPC
Managing and Founding Partner, TRIO

Frequently Asked Questions

We know how hard pregnancy loss is — we're here to help. Contact us to learn if TRIO’s RPL program is right for you.

Extensive testing & monitoring

Improve live birth outcomes 

Reduce risk of complications

Have a successful pregnancy

Get the RPL Support You Need


Speak with our fertility nurse to find out if you’re a candidate for the RPL program. 


Book your appointment and get an assessment with an RPL specialist.


Begin the assessment, testing, and monitoring process with support every step of the way.