I am 42 years old and have had 4 miscarriages in the past 18 months. (5 weeks, 5weeks, 6 weeks, and 11 weeks). I had a normal pregnancy and delivery 4 years ago. I was given progesterone support during the my last pregnancy which resulted in the miscarriage at 11 weeks. The ultrasound that was completed at 8 weeks indicated a heart beat of 41-50 bpm and 2 small fibroids in the anterior body of the uterus. Could the fibroids be the cause of recurrent miscarriages and do you recommend further evaluation? Was the low heart rate a prime indicator of an impending miscarriage and would it be considered a genetic defect? What testing do you recommend?