Nathan has two daughters. When he and his wife were trying to have a baby, they did considerable research on issues concerning pregnancy.
Dr. Mark Trolice, Reproductive Endocrinology and Infertility Specialist , Fertility CARE-The IVF Center
Ovulation is Still Possible
Having a miscarriage can be emotionally and physically traumatic. However, many women would like to try to get pregnant again soon after a miscarriage. It's important to learn the right time to do so.
Continue reading for more details about the miscarriage process and what doctors recommend in terms of trying to get pregnant again. The following areas will be covered:
- What happens after miscarriage
- Ovulation time after miscarriage
- Ovulation signs
- Fertility after miscarriage
- How common are miscarriages?
- Deciding when to try to get pregnant again
What Happens After Miscarriage
The physical healing occurs rather quickly and is usually complete within 4-6 weeks. The body will normally expel fetal tissue and placenta within 24 hours to several days.
Bleeding will taper to spotting in about a week and hHG (pregnancy hormone) levels will drop to zero after this spotting occurs or about 10 days after the miscarriage. You could be secreting a brown or yellow mucus. You will begin to ovulate about 2 to 4 weeks after the miscarriage. Then your menstrual cycle will return to normal.
It is important to note too that a healthy lifestyle will further ensure your fertility. This includes eating healthy foods, getting exercise, reducing caffeine intake and stress, and taking vitamins.
Ovulation Time After Miscarriage
You can ovulate and even become pregnant just two weeks after a miscarriage. The American College of Obstetricians and Gynecologists (ACOG) recommends that women who don't want to get pregnant again within two weeks after miscarrying should use birth control.
Not all women will be fertile that quickly after a miscarriage, but women who previously had normal ovulatory menstrual cycles should return to their regular cycles within 2 to 3 months.
Is It Safe to Get Pregnant Again Right After a Miscarriage?
Some doctors recommend waiting two weeks, or until bleeding has stopped, to have intercourse in order to avoid infection. Beyond that, there is no medical reason to wait to begin trying to conceive, according to the ACOG. It will be easier to track your pregnancy and calculate a due date if you wait until after you have had a menstrual period.
"The earlier a woman tries to conceive following a miscarriage, the higher the success," says Dr. Mark Trolice, a reproductive endocrinology and infertility specialist at Fertility CARE-The IVF Center in Orlando, Florida. "So, there is no reason to delay attempting to conceive provided the woman/couple has adequately grieved the pregnancy loss."
Can I Ovulate Without Having a Menstrual Period?
Yes. Following a miscarriage, and once the bleeding has ceased, the woman will actually ovulate before her period returns because menstruation is a result of the post-ovulation hormonal build-up to the uterine lining, says Trolice. "When pregnancy does not occur," he says, "the hormone levels decline, and menses begins. This is how a woman can get pregnant without ever having a period!"
What Is a Chemical Pregnancy?
A chemical pregnancy is a miscarriage that happens very early, within five weeks of conception. Many women may not know they have had this type of miscarriage if they were not carefully tracking their cycle. There is no medical reason why a woman shouldn't try to conceive again soon after a chemical pregnancy. In fact, the odds are very high that a subsequent pregnancy will be successful.
Some doctors recommend waiting two weeks after a miscarriage to have intercourse. Ask your doctor what they advise for you.
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- Rise in basal body temperature (this is your lowest temperature in a 24-hour period). Before ovulation, your BBT may range from 97.2 to 97.7 degrees Fahrenheit. The day it should rise by 0.5 to 1.0 degree.
- Higher levels of luteinizing hormone (LH). This can be measured using a home ovulation kit.
- Cervical mucus, or vaginal discharge, may appear clearer, thinner, and stretchy, like raw egg whites.
- Tender breasts.
- Increased sex drive.
- Light spotting
- Slight pain or cramping in your side.
How Can I Calculate My Ovulation?
This can be tricky after a miscarriage if your period has not returned, but if you have menstruated since your miscarriage you can use the first day of your period, your BBT, and the consistency of your mucus to calculate your ovulation using an ovulation calculator. If you have not menstruated, use an ovulation predictor kit.
Fertility After Miscarriage
The World Health Organization has recommended that women wait six months to try to get pregnant again after miscarrying. But a recent review of research shows that women are more likely to have a successful pregnancy if they conceive within six months of miscarrying. The review, conducted at the University of Aberdeen in Scotland, found that conceptions within 6 months of a miscarriage were less likely to result in another miscarriage.
Is the Luteal Phase Shorter After a Miscarriage?
The luteal phase is the second half of your cycle when you've ovulated and the egg is waiting in the fallopian tubes to be fertilized. There is no evidence that this phase changes after a miscarriage, however, many women do not ovulate or have a period for six to eight weeks after miscarrying.
How Common Are Miscarriages?
- About 10-20% of pregnancies end in miscarriage.
- The risk of miscarriage for women under 30 is approximately 10%. For women who are 40, the risk goes up to 33%.
- Less than 5% of women miscarry twice in a row.
- In 85% of cases of miscarriages, the next pregnancy is carried out successfully.
If you have two miscarriages, your doctor may want to explore the causes. The chance of two losses is 5% of couples. Only 1% of couples experience three or more losses.
Evaluating the causes of miscarriage involves checking for genetic factors that might be causing the trouble, such as hormonal imbalances, uterine abnormalities, or problems with the cervix opening too early.
Deciding When to Try to Get Pregnant Again
There are physical things to consider, of course. Doctors also recommend taking the grieving process into consideration. Each individual is different and many people want to try again right away.
In the end, everyone is different and the decision is made between you, your partner, and your doctor in consultation.
This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.
© 2014 NathaNater
Princess on August 19, 2020:
Today I will be 5 weeks and I had miscarriage today am in a bit shocked
chelsea on June 19, 2020:
I had a missed miscarriage at 10 weeks. Its been 14 weeks since, and my HCG levels have just now dropped to 0. To my knowledge i have not ovulated, as i was still testing positive for pregnancy up until last week. I have not had a period yet either. It takes some womens bodies much longer recover.
Chizzy on March 09, 2020:
I had a miscarriage on feb,it up to two weeks now and i havent seen my period and wen ever i check or test my self it still shows me positive, am confused pls i need help
Estherblessing on May 19, 2019:
I had a miscarriage on February 29, what are d step to get pregnant again
Victoria on January 11, 2019:
multiply comments/questions had been asked by different people but no answer was provided, whats the essence of asking. i thought this platform is to help people in need? please do well to provide answers to those people, for it may go a long way helping other people. thanks
Priya on January 06, 2019:
I just had a miscarriage on 3rd January 2019. Still bleeding, today the fifth day. Can we try again once bleeding stops? Is it safe?
Celluloid on October 14, 2018:
I had a miscarriage on the 7th of September 2018, and my period hasn't returned, I av had unprotected sex for more than 3times since d bleeding stoped, can I get pregnant, or what do I expect? How do I calculate my ovulation and when am I likely to start menstruating?
Kimerly on August 20, 2018:
Hi..i had an incomplete abortion and my boyfriend proposed.. During the course of my treatment to evacuate the remains I got pregnant again... And I want to keep it.. Would my baby be okay... Plssss help
ruth on August 17, 2018:
10 weeks after miscarraige i have not seen my periods pliz help
Rachel on July 01, 2018:
I had miscarraige at 11 weeks on May 13th then on tbe 14-16 june i had my period,so on the 30 of june i just had unprotected sex with my man,is it possible for me to fall pregnant??
KHIA on June 13, 2018:
Hi, I was pregnant in March and lost my baby through miscarriage. I bled for one month and some days March to the first week in May. I had sex may 17 and he pull out and then my period came the 19. In June my bf and I had sex again he pulled out but some of his discharge was at my labia and my vagina was on top of his penis.. this happen couple days after I think I ovulate. Could I get pregnant? Heard that after miscarriage it's easier for a woman to get pregnant.
Preet on June 05, 2018:
How soon can I get pregnant after 7 week miscarriage
Nicole on May 14, 2018:
I had a miscarriage at 8 weeks i had no signed of miscarriage or nothing right after the procedure my ob told me i must not worry within the next month i will be pregnant again with twins so at the moment i am just holding thumbs we fall pregnant still this year.
All in gods halds
Clare on November 14, 2017:
I Mc at 8 weeks on 27th oct 2017 when at an early scan no heartbeat was found, I had no bleeding or symptoms of the MC happening, had to be assisted for the pregnancy to come away with tablets inserted. HD another internal scan a week later& everything looked fine& back to 'normal' womb closed etc. midwive told me we were perfectly safe to try again as I'd be highly fertile after all this happening, fingers crossed I'm pregnant before a period
kissa265 on September 14, 2017:
I had a miscarriage at 13 weeks, found the babies heart beat had stopped at the scan. It has now been 9 weeks since i started miscarrying and been trying for a baby. My usual period dates are completely different and it's throw me! Just hoping for the best.
Karen on September 02, 2017:
I just had a miscarriage and my husband and I want to start trying to get pregnant right away, but the doctor advised us to wait 6 months and I'm sorry but that seems like a long time to wait for us, we've been trying to get pregnant for two years and it finally happened, and ended up in a miscarriage at 6wks and 5days, can anyone help me out here plz
Paula M on May 19, 2017:
My doctor said it used to be the standard to wait 3 mo. after MC, but not anymore. He said the potetial to get pregnant within the first few months is much higher right after.
My friend MC at 11 weeks and got pregnant 4 weeks later. The exception may be a D & C from what my cousin told me (wait 3 months to heal) but I have not researched that myself.