Hi All,

I want to share some potentially useful information I've come across that may be helpful for those who have had multiple miscarriages.

I had my first missed miscarriage and D&C back in October 2023, but the doctor refused to submit it for genetic testing because it was my first miscarriage, she thought insurance wouldn't cover it, and it "probably wouldn't happen again anyway" (oh, statistics!)

I had my second miscarriage in June and my OB gave me the Natera Anora collection kit to send it in for testing, which confirmed the miscarriage was due to trisomy 15.

We consulted with a reproductive endocrinologist, who diagnosed me with infertility due to recurrent miscarriage and suggested IVF due to my age (turning 37 in a month). However, our insurance company refused to authorize payment for IVF, stating that there was no proof that the first miscarriage was aneuploid, and that since I was pregnant in June, the 6-month clock for "trying" would reset. Conflicting and infuriating logic, but I don't expect much else from insurance companies.

I contacted the doctor who did my D&C for the first miscarriage to let her know that insurance was denying IVF coverage in part due to my lack of proof that the first pregnancy was abnormal, and suggested that in the future, she should support patients in getting testing on their first miscarriages. To my surprise, she contacted the pathologist who confirmed that my first miscarriage was indeed a miscarriage, and learned that they still had a preserved tissue sample on file. They were able to send off this preserved sample for genetic testing and lo and behold, it was confirmed to be trisomy 14.

I am so relieved to have an answer when I thought I never would (though my RE assumed it was chromosomal due to my age). I'm now using these testing results to appeal my insurance company's denial of IVF coverage. I have no idea if it'll work, and we're going to keep trying on our own regardless. I just want to share in case this information is useful to anyone else out there.