Recurrent pregnancy loss clinics in Toronto
Toronto and GTA fertility clinics with published RPL workups and IVF programs — what real recurrent-loss care looks like, beyond a generic IVF cycle.
Recurrent pregnancy loss — typically defined as two or more consecutive miscarriages — is one of the most under-investigated areas of fertility medicine. The Toronto IVF clinics with strong RPL programs do three things that generic IVF clinics often skip: they run a structured RPL workup before defaulting to IVF, they coordinate with maternal-fetal medicine for thrombophilia and immune workups where indicated, and they use PGT-A (preimplantation genetic testing for aneuploidy) thoughtfully — not as a default, but as a targeted tool for patients whose loss history points to embryo aneuploidy. Every clinic on this list has published experience treating recurrent loss. Ask the clinic specifically what their RPL workup includes before agreeing to start an IVF cycle — the workup matters more than the cycle itself for many RPL patients.
Inclusion: clinic publishes treatment of recurrent pregnancy loss in its 'conditions treated' information, or has a published RPL workup protocol and coordination with maternal-fetal medicine. Last verified May 2026.
Recurrent pregnancy loss clinics in Toronto
14 clinics in our directory. Ranked by Google rating, then review count.
- Tripod Fertility4.2(74)Toronto (North York) · Atria III, Suite 901, 2225 Sheppard Ave EOFP-fundedNo waitlistLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: One of the only clinics in Canada specializing in reproductive immunology — treats RPL (recurrent pregnancy loss) and RIF (recurrent implantation failure) on-site with Intralipid, IVIg, Humira, and Lymphocyte Immunization Therapy (LIT).…
- Astra Fertility Group4.1(63)Mississauga · 4303 Village Centre CrtOFP-fundedVirtual consults
Why they fit: Dr. Essam Michael's bio specifically names Asherman's Syndrome, severe uterine anomalies, and recurrent pregnancy loss as areas of focus. Multiple Google reviews describe patients being referred to Astra after other clinics couldn't…
- Hannam Fertility Centre4.0(223)Toronto · 160 Bloor Street East, 15th Floor, Toronto, ON, M4W 3R2OFP-fundedNo waitlistLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: Site language explicitly serves patients who have switched from other clinics ('Can I switch clinics if I'm on another Clinic's Waitlist? Yes'). Dr. Robb specializes in recurrent pregnancy loss and fertility preservation.…
- IVF Canada Fertility Centre4.0(155)Toronto · 2347 Kennedy Rd, Suite 304, Toronto, ON M1T 3T8OFP-fundedNo waitlistLGBTQ+ welcoming
Why they fit: Dedicated Recurrent Pregnancy Loss treatment page. IVF treatment page explicitly lists 'women with diminishing ovarian reserve or egg quality' and 'female reproductive conditions (e.g., blocked fallopian tubes)' under who benefits from IVF.
- Lakeridge Fertility4.0(47)Whitby · 220 Dundas St W, Suite 404, Whitby, ON L1N 8M7OFP-fundedLGBTQ+ welcoming
Why they fit: Specialized recurrent pregnancy loss program working with Dr. Carl Laskin and Dr. Sony Sierra; satellite of TRIO Fertility (one of Canada's largest fertility teams) for advanced IVF and embryology requirements.
- Dream Fertility4.0(26)Whitby · 198 Des Newman Blvd, 4th floorOFP-fundedLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: Recurrent pregnancy loss is named as a focus, but no general 'complex cases' positioning
- Reproductive Care Centre (RCC)3.9(350)Mississauga · 2180 Meadowvale Blvd, Mississauga, ON L5N 5S3OFP-fundedLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: Marketing copy describes 'a passion for solving even the most complex fertility challenges.' Dedicated High BMI Program for patients turned away elsewhere; Recurrent Pregnancy Loss is a Medical Director special interest; Endometriosis…
- Markham Fertility Centre3.9(105)Markham · 379 Church Street, 5th FloorOFP-fundedLGBTQ+ welcomingTransparent pricing
Why they fit: Site explicitly states clinic is 'equipped to manage medically complex patients' and lists work with high-BMI patients, RPL, recurrent implantation failure, reproductive immunology, and balanced translocations. LinkedIn lists 'Immune Therapy' as a…
- TRIO Fertility3.8(357)Toronto · 655 Bay Street, 11th and 18th floorsOFP-fundedLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: Explicitly welcomes patients transferring after failed cycles at other clinics; houses Canada's only early RPL program; Dr. Laskin's reproductive immunology practice; medical rounds 4x/week to review every IVF protocol collaboratively.
- Generation Fertility3.6(147)Vaughan · 955 Major MacKenzie Dr W #400, Maple, ON L6A 4P9OFP-fundedLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: Dr. Gurau bio explicitly mentions welcoming patients seeking second opinions or who experienced treatment in the past. Dr. Campanaro (Waterloo) treats immunology infertility and recurrent pregnancy loss. Dr. Hartman (Toronto West Medical…
- ONE Fertility3.4(140)Burlington · 3210 Harvester RoadOFP-fundedLGBTQ+ welcomingTransparent pricing
Why they fit: Reproductive Endocrinology page explicitly addresses complex conditions (Turner's syndrome, premature ovarian insufficiency, hyperprolactinemia, amenorrhea); Dr. Karnis is internationally recognized for managing pregnancy in women with Turner syndrome; multiple physicians have advanced reproductive…
- NewLife Fertility Centre3.4(25)Mississauga · 4250 Sherwoodtowne Blvd, Mississauga, ON L4Z 2G6OFP-fundedLGBTQ+ welcomingVirtual consults
Why they fit: Explicit on the success rates page: 'At NewLife there are no selection criteria for patients. Our specialty is treating difficult and complex cases.' Dedicated Recurrent Pregnancy Loss (RPL) service page. Beautifi clinic…
- Mount Sinai Fertility3.2(116)Toronto · 250 Dundas Street West, 7th Floor, Toronto, ON M5T 2Z5OFP-fundedLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: About page states the clinic is 'recognized around the world for successfully treating even the most challenging fertility cases'; faculty research and clinical interests include recurrent pregnancy loss, recurrent implantation failure, severe…
- First Steps Fertility Clinic3.1(37)Toronto (North York) · 4025 Yonge Street, Suite 215, Toronto, ON M2P 2E3OFP-fundedLGBTQ+ welcoming
Why they fit: IVF, IUI, egg freezing and PGT in Toronto (North York). OFP-funded.
At-a-glance: Top 5 compared
The five highest-rated clinics in this list, side-by-side. Tap any row to open the full profile.
| Clinic | Area | Rating | OFP-funded | Pricing |
|---|---|---|---|---|
| Tripod Fertility | Toronto (North York) | 4.2 (74) | Yes | $11,495 stim cycle / $6,500 natural — excludes medication, ICSI, PGT, anesthetist |
| Astra Fertility Group | Mississauga | 4.1 (63) | Yes | On request |
| Hannam Fertility Centre | Toronto | 4 (223) | Yes | $14,650+ (excludes medications and PGT) |
| IVF Canada Fertility Centre | Toronto | 4 (155) | Yes | On request |
| Lakeridge Fertility | Whitby | 4 (47) | Yes | On request |
How to pick a Toronto clinic for recurrent pregnancy loss
Start with the workup. A complete RPL workup typically includes parental karyotyping, uterine cavity evaluation (saline sonogram or hysteroscopy), thyroid function, prolactin, and screening for antiphospholipid syndrome. More aggressive workups add thrombophilia screening, immune testing, and detailed metabolic panels. Ask the clinic what their standard RPL workup looks like before consenting to an IVF cycle — and whether they recommend the workup before IVF or in parallel.
PGT-A is the question for RPL patients with normal workups. If your losses point to embryo aneuploidy (advanced maternal age, mosaic history, repeated euploid testing showing aneuploid embryos), PGT-A as part of an IVF cycle can meaningfully reduce loss rates. If your losses don't point to aneuploidy, PGT-A may not help and adds $3,000–$5,000 in cost. A clinic that defaults to PGT-A for every RPL patient is not adjusting to the individual case; a clinic that discusses when PGT-A is and isn't indicated is being more thoughtful.
Finally, RPL care often crosses clinic boundaries. The IVF clinic handles the IVF cycle; maternal-fetal medicine specialists handle high-risk pregnancy management after a positive result; thrombophilia and immunology may involve hematology referrals. A clinic that has named referral partners in each of these areas streamlines care; a clinic that just hands you a list adds friction to an already exhausting journey.
- What does your standard recurrent pregnancy loss workup include?
- Do you recommend the RPL workup before IVF, or in parallel?
- When do you recommend PGT-A for RPL patients, and when do you not?
- Which maternal-fetal medicine practice do you typically refer RPL patients to?
- Do you screen for antiphospholipid syndrome and thrombophilia as part of your standard workup?
- How do you handle pregnancy management after a positive result — in-house, or referred?
Frequently asked questions
Which Toronto fertility clinics treat recurrent pregnancy loss?
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Most Toronto IVF clinics will treat recurrent pregnancy loss, but the depth of the diagnostic workup varies. The four highest-volume clinics — TRIO, Mount Sinai, CReATe, Hannam — have the most structured RPL workups and the strongest coordination with maternal-fetal medicine. The list below filters our directory to clinics with published RPL experience.
Does PGT-A help with recurrent pregnancy loss?
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PGT-A helps in specific RPL cases — typically when losses point to embryo aneuploidy (advanced maternal age, prior aneuploid pregnancies). For RPL patients with normal karyotypes and otherwise unremarkable workups, PGT-A adds significant cost ($3,000–$5,000) without dramatically improving outcomes. A clinic that recommends PGT-A for every RPL patient is over-prescribing; a clinic that discusses when it's indicated is practicing better medicine.
What's included in an RPL workup at a Toronto IVF clinic?
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A complete RPL workup typically includes parental karyotyping, uterine cavity evaluation (saline sonogram or hysteroscopy), thyroid function, prolactin, antiphospholipid antibody screening, and sometimes thrombophilia and immune panels. The exact panel varies by clinic and by the patient's history. Ask the clinic what their standard workup includes before agreeing to an IVF cycle — the workup may identify a treatable cause that doesn't require IVF.
Will OFP-funded IVF cover treatment for recurrent pregnancy loss?
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Yes — Ontario Fertility Program funding for IVF is available to RPL patients on the same terms as any other patient. PGT-A is not covered under OFP and is an out-of-pocket add-on (typically $3,000–$5,000) regardless of funding pathway.
How many miscarriages count as recurrent pregnancy loss?
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The most common clinical definition is two or more consecutive miscarriages. Some older guidelines used three. Most Toronto IVF clinics will begin a formal RPL workup after two losses, especially if the patient is over 35 or has a known fertility issue. If you've had two losses, ask your clinic about starting the workup; you don't need to wait for a third.