It is natural to feel nervous about getting pregnant after a miscarriage. Remembering your last
pregnancy, you may easily slip into worrying about this baby. It may help you to know that most women who
get pregnant after miscarriage go on to have healthy babies. Here are some things you should know and things you can do to reduce your risk of repeated miscarriage. Keep in mind that repeated miscarriage is the exception, not the rule. Only about 1% of
couples have two or more miscarriages in a row. Most of the things that cause miscarriage are beyond your control. Even so, talk to your doctor and take these steps to reduce your risk: If you have another miscarriage in the future, see
your doctor for an evaluation. You can receive treatment for many of the conditions that trigger miscarriage, including hormone imbalances and abnormalities in your cervix or uterus. There is about a 50/50 chance that one of these tests will uncover a condition that caused your pregnancy to end abruptly. Some doctors rec. waiting until 3 miscarriages for
further evaluation. Ask your doctor what is right for you. Take heart; 60% to 70% of women who have had two or more miscarriages in a row go on to have a
healthy baby. If you've experienced a miscarriage, you may be wondering when you can try again. Depending on your situation, when you'll be able to get pregnant again may vary. A doctor can help you determine the ideal time to start trying from a physical health standpoint, but there are emotional factors to consider as well. Ultimately, only you can know when you're ready. This article explains what experts say about trying to get pregnant after a miscarriage, the medical considerations, and how to determine when you're ready. When Can You Try Again?Assuming that you had regular menstrual cycles before your miscarriage, your period should return within four to six weeks after your miscarriage. After that, you may find yourself expecting again right away (assuming you have unprotected sex), perhaps even within the first menstrual cycle after your loss. In other cases, it can take several cycles to get pregnant again even if you begin trying right away. Confusing matters is that there is no official consensus from the medical community on how far to space out your subsequent attempts at pregnancy following a loss. However, many doctors advise people to wait about three months before trying again for a few reasons, including:
The World Health Organization (WHO) suggests waiting even longer—six months—between miscarriage or induced abortion and trying to conceive again. The reason for their lengthy recommendation is to reduce the risks of adverse outcomes. To evaluate the validity of the WHO's recommendation, a meta-analysis of 16 studies investigated the success of subsequent pregnancies after miscarriage. Overall findings suggest that getting pregnant again less than six months after a miscarriage isn't associated with poor pregnancy outcomes, and waiting may not be necessary or beneficial for some. What the Experts SayThe American College of Obstetricians and Gynecologists (ACOG) says there is no medical reason to delay getting pregnant after a miscarriage. However, they suggest you might want to wait until after you've had one menstrual cycle so that you can more accurately date your subsequent pregnancy. Because older people are at higher risk of recurrent miscarriage, age is an essential factor when deciding how long to wait. In addition, fertility starts declining after age 30, so it may take a bit longer to get pregnant. RecapAdvice on pregnancy spacing after miscarriage is mixed. Some recommend one to three months, while others say to wait as long as six months. However, ACOG asserts that there is no medical reason to postpone pregnancy after miscarriage. On the other hand, it may be a good idea to wait until you've had at least one menstrual period so that you can more accurately date the next pregnancy. Medical Reasons to Wait That
said, not everyone should jump back into pregnancy after a miscarriage. Aside from the emotional toll of a miscarriage, there may be physical reasons to hold off. Medical ConditionsIf your miscarriage was the result of a medical condition, it may be recommended that you treat the underlying condition before getting pregnant again. For example, you might wait before trying to conceive again if you miscarried due to a condition like:
Modifiable Risk FactorsIn addition, if you have a modifiable risk factor (something that may increase your risk of miscarriage that you can change), then getting pregnant immediately without addressing that underlying condition or risk factor might increase the risk of having another miscarriage. These risk factors include:
Molar PregnancyA molar pregnancy occurs during fertilization when a problem with the embryo causes a noncancerous tumor to grow around it instead of a placenta. Because this growth cannot support a healthy fetus, the pregnancy ends in a miscarriage. Molar pregnancies are rare, occurring in less than 1% of pregnancies. To reduce the chances of a recurrent molar pregnancy, most doctors advise waiting one year before getting pregnant again. During this time, most doctors will monitor your hCG levels to ensure that the issue has completely cleared up before you undertake another pregnancy. Later Pregnancy LossPregnancy loss in the second or third trimester is significantly less common than in the first trimester. However, some studies have found that people who conceived less than six months after preterm or full-term delivery have faced a higher risk of complications in the subsequent pregnancy. Some doctors advise waiting at least three months before trying to conceive if a miscarriage occurs during the second trimester. That recommendation is, in part, because the testing to determine the cause of a second-trimester loss (or losses) can take a couple of months. Plus, waiting a few months gives your uterus and hormones some time to heal and return to baseline before you attempt another
pregnancy. D&C ComplicationsSome people undergo a dilation and curettage (D&C) procedure after miscarriage. In that case, you'd want to allow time for your uterine lining to build back up again, which may also delay your next natural menstrual cycle. While most people heal within a few days of the procedure, possible surgical complications that may impact future fertility include:
Other ReasonsDepending on the circumstances of your miscarriage, a doctor may encourage you to give it some time before trying again. For instance, if you experienced significant blood loss, you may want to give your body time to heal and build back up your iron stores before conceiving again. Additionally, hCG levels remain high for a while following a miscarriage. Therefore, if you take a pregnancy test shortly after miscarrying, elevated levels from your previous pregnancy can trigger a false positive test, causing distress and disappointment. Each situation is unique, so it's essential to communicate your plans to a doctor to offer yourself the best opportunity to reach your desired outcome. RecapIn many cases, there is no medical need to wait to try to get pregnant again after a miscarriage, but there are some reasons, such as certain medical conditions and other risk factors, that you might be advised to wait. It's always best to consult a doctor if you're unsure what is best for you. Try When You're ReadyEven if you start trying again right away, another pregnancy might take time. Although it can be frustrating when you are eager to be pregnant, this doesn't necessarily mean anything's wrong. About nine out of every 10 couples will achieve a pregnancy within a year, assuming they are timing attempts to the fertile period of the menstrual cycle. If you're older than 35 and not pregnant within six months of trying, however, you may want to speak with a fertility specialist. Having a miscarriage can be a traumatic experience. So, you may need to spend some time grieving the loss before moving ahead with another attempt at pregnancy. Getting emotional support from a qualified mental health professional can help you work through your emotions, so you feel confident going into another pregnancy. That said, trying again after a miscarriage can be part of the emotional healing process for some couples. There is often no medical reason to wait once you're emotionally ready. Chances are, you can look forward to a healthy pregnancy again soon. According to the American College of Obstetricians and Gynecologists, only 1% of people have repeated miscarriages, and of those with unexplained repeated miscarriages, 65% will have a successful pregnancy after the loss. SummaryThe choice of when to try to become pregnant again after a miscarriage is a personal one. There is often no medical reason to wait if you don't want to. However, it is a good idea to allow your body to have one menstrual period before trying. Doing so can help you accurately date your next pregnancy and ensure that your hCG levels from your previous pregnancy have fallen back to pre-pregnancy levels (and won't cause a false-positive result). If a medical condition caused your miscarriage or it occurred later in pregnancy, work with a doctor to determine the best time to conceive. A Word From Verywell It's common to feel rattled and heartbroken after experiencing a miscarriage. Allowing some time to mentally process what happened before trying to get pregnant again is the best choice for some people. For others, the process of coping with miscarriage is more difficult when they have to wait before trying to get pregnant again. In this way, the
choice is very personal, and one best decided by you, your partner, and a doctor. Can you ovulate while still bleeding from miscarriage?The first day of bleeding is day 1 of the new menstrual cycle. Bleeding or spotting may continue for around a week after this. Ovulation may occur around 2 weeks into this new cycle.
Can you get pregnant after a miscarriage and still have a period?1 And since ovulation happens before you get a period in any given cycle, you may be fertile before you realize it. It's important to note that it's possible to become pregnant during your first menstrual cycle following a miscarriage.
How long after miscarriage bleeding did you ovulate?Ovulation can happen as early as two weeks after the loss of a pregnancy. For most women, bleeding from an early miscarriage resolves in about week. Bleeding may last longer if the miscarriage occurred in the late first or second trimester. There may also be some spotting for up to four weeks.
Are you extremely fertile after a miscarriage?There is no evidence that suggests that you are more fertile after one or more miscarriages. However, some studies do suggest that in the short-term, couples may be more likely to conceive after miscarriage if they conceive within 3 months, compared to those who wait longer than three months.
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Can you get pregnant while still bleeding from a miscarriage
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