A 32-year-old female with...

A married couple visited a fertility clinic due to their recurring pregnancy losses over ten years. The wife, aged 32, experienced seven pregnancy losses, each occurring in the second trimester. The most recent loss had taken place one year before they visited the clinic. Throughout each pregnancy, an obstetrician closely monitored the wife, and ultrasonography confirmed the loss of pregnancy each time. There was no previous history of primary infertility or difficulties in conception. The wife had regular menstrual cycles without experiencing dysmenorrhea or any other symptoms. A gynecological physical examination revealed no notable findings, with the uterus being normal in size and shape, and no tenderness detected. The uterus was also found to be anteverted and anteflexed, while the adnexae (the structures adjacent to the uterus) appeared normal. Hormonal and chemical parameters were within the expected range, and the patient's medical history was otherwise unremarkable, except for a prior dilation and curettage (D&C) procedure and an open ovarian cystectomy. Further evaluation, including abdominal ultrasonography and hysteroscopy, was recommended.