High-Intensity, Low-Frequency Periodic rTMS Over the Right Dorsolateral Prefrontal Cortex on Cardiac Autonomic Regulation in Women With Recurrent Pregnancy Loss and Anxiety

This study is testing whether a brain stimulation technique called repetitive transcranial magnetic stimulation (rTMS) — a non-invasive treatment that uses magnetic pulses to gently stimulate specific brain areas — can reduce anxiety and improve heart rhythm regulation in women who have experienced multiple miscarriages. **You may be eligible if...** - You are a right-handed woman between 18 and 45 years old - You have experienced 2 or more consecutive miscarriages before 28 weeks of pregnancy - You are not currently pregnant (or have recently had a confirmed non-viable pregnancy) - You have anxiety symptoms that meet diagnostic criteria - You are not currently taking medications that affect heart rhythm **You may NOT be eligible if...** - You have a metal implant in your head or a pacemaker - You have a history of seizures or epilepsy - You have a major psychiatric disorder such as psychosis or bipolar disorder - You are currently pregnant with a viable pregnancy - You have serious heart conditions Talk to your doctor to see if this trial is right for you.