How Long After Miscarriage Do You Ovulate?
|Expert Reviewed||Dr. Mark Trolice, Reproductive Endocrinology and Infertility Specialist|
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.
How Soon After a Miscarriage Do You Ovulate?
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.
What Are the Signs of Ovulation?
- 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.
How Fertile Are You After a 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.
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.
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.
When are you planning to try to conceive again?
Dr. Mark Trolice
- The article has been modified since this review was written.
Questions & Answers
© 2014 NathaNater