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This patient has endured six miscarriages over ten years of marriage. Despite multiple interventions, including a recent LIT procedure, immunological treatments, and various medications, she continued to experience pregnancy loss. Detailed imaging revealed adenomyosis along the posterior uterine wall, a condition that often contributes to recurrent miscarriages but is sometimes overlooked. It is important to recognize that not all patients benefit from repeated or unindicated treatments like LIT. In cases like hers, offering IVF with genetic testing to select chromosomally normal embryos can significantly improve the chances of a successful pregnancy. Additionally, addressing adenomyosis before attempting conception is essential for improving outcomes. Reproductive immunology is complex, and careful evaluation is key to avoid unnecessary interventions. The right diagnosis and personalized treatment plan provide the best hope for patients facing recurrent pregnancy loss. Follow For More! #RecurrentMiscarriage #PregnancyLoss #Adenomyosis #FertilityTreatment #AdenomyosisTreatment #FertilitySpecialist #IVFSpecialist #FertilityCare #Miscarriage #DrJayMehta