Hello, and I hope I can help you today. First, I want to reassure you that your miscarriages were not due to your fibroids or anything being physically wrong with your uterus, tubes or ovaries. The fact that you never developed a fetal pole during either pregnancy means that the pregnancy was not normal from the start, which is due to genetic abnormalities in greater that 99 percent of cases. Normally, if a fetus does not develop, the pregnancy tissue will be shed by the body naturally as hormone levels fall, causing a miscarriage . Women over age 35 have an increased risk of conceiving genetically abnormal pregnancies, and because of this, about 1 in 7 pregnancies will not develop properly and miscarry. I know it can be discouraging to have had two miscarriages, but the chance of having a normal pregnancy next time is still over 80 percent. So there is no reason to suspect that you cannot carry a normal, healthy pregnancy to term. If you develop a fetus with a heartbeat on a subsequent pregnancy, your chance of losing the pregnancy after that is less than 1 percent. So I encourage you not to be discouraged and I assure you if you do develop an actual fetus and your genetic testing is normal, you should be able to carry a pregnancy normally to term. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes, Dr. Brown