How soon can I get pregnant after a miscarriage - Complete Guide
Trying to conceive after miscarriage?
When a woman faces a miscarriage, some questions must arise in her mind like How soon can I get pregnant after a miscarriage, What was the cause of my miscarriage? Will I again face a miscarriage? What can i do to avoid next miscarriage, How soon can we have sex again? and more questions like this. I have written the answers of all such questions in very detail and after reading below, you will be able to decide what is better for you.
How soon can you get pregnant after a miscarriage
This can be the most difficult topic for you because every one will have different opinion about it. Your doctor, husband, friend or mother and so on, all will have different saying. Your decision may change now and then. You may not agree with your doctor and your partner may not agree with you. It all can make you upset and you will be thinking about it all the time that may add some more grief in your already grief of losing your baby. First of all, I want to clear that a woman who have faced a miscarriage recently, can get pregnant again immediately even before the start of menstrual cycle because you will ovulate before the start of menstrual cycle. But the main question is that what are the recommendations of doctors on how soon to get pregnant again after a miscarriage?. Should you get pregnant soon even before the start of menstrual cycle, or after one period, or within six months or after six months of miscarriage. By reading the following information, you will 100% be able to decide what is the best and recommended time to get pregnant again after miscarriage.
You have no need to be worry about physical recovery. Physical recovery in most cases may take a few hours to a couple of weeks irrespective of the type of miscarriage, normal or D&C (surgical). After the physical recovery, a woman can get pregnant again even before the start of next period as she will ovulate before start of period. But if not so soon, a woman is ready for child bearing once her cycle returns. In some cases where miscarriage is complicated, it may be difficult to expect when the normal periods will return, however in most cases where miscarriage was normal, a woman's normal cycle will return within four to six weeks.
So what is right time to try again. However some doctors will advise you should not try again at least for three cycles so that your uterine may heal up well and may become ready for next child, but most doctors know that it is not right in 80% cases and you can try again right away. However according to my experience, I have talked to hundreds of women and I will advise you that there is no need to wait long and you can try again right away, but I'll also advise you to must wait for one cycle before trying to conceive after miscarriage as if you do not wait even for one cycle, you can face two problems which can add you more grief,
If you do not wait for one cycle, you can not know your last menstrual period date (miscarriage date is of no use) and this can cause you some problems. For example if you visit doctor for some tests, your tests may show that you are 6 weeks pregnant but you expected it to be 8 weeks. During sonogram, no fetal pole may be seen but you will have a wish to see baby now. Means you will have a different age of pregnancy in your mind and your tests may show different. Your doctor may advise you to wait some more weeks and then come back for tests again. It will make you upset that why all this happening, is my baby dead again and more questions like this. The solution of all these problems is to know the last menstrual period date and it can be achieved only when you wait at least one cycle before trying to conceive again after your miscarriage.
- If you had a D&C, it does not guarantee of removal of all the tissues from your uterine and there is probability of remaining some tissues within your body. If you do pregnancy test, it may show positive but in fact you are not pregnant. You can bleed again and you will think that you are having another miscarriage but in fact it is still previous one going on. Why positive pregnancy test if you are not? The reason is that positive pregnancy test is due to hCG hormone which left in your body from miscarriage. When you are pregnant, your body produces this hormone which stops the pituitary gland from producing other hormones which stimulates ovulation. After miscarriage, level of this hormone starts lowering and takes some days to go to zero level. If some tissues remain in your body, it can not go to zero level. Even after complete removal of tissues, it may take some days to gradually decrease and finally go to zero lever.
Some doctors say that it is not important to wait for one cycle to get the Last Menstrual Period date and they think ultrasound is enough to date the early pregnancies. They advise women that they can go for trying to conceive again after miscarriage as soon as they feel ready for it and that waiting do not reduce the risk of another miscarriage at all. If your doctor advises you wait for some time, ask him the reason for waiting. If he has a solid reason, then you must wait. For example if your miscarriage was due to neural tube defect, your doctor may advise you to take folic acid for some time before trying to conceive again. And if doctor do not provide solid reason, you have no need to wait.
So waiting for one normal cycle is enough to try again. However if your miscarriage was complicated or there was a major surgery, then you must wait for that time recommended by your doctor. Some times your period can not return soon, it is a sign that your body is not ready for child bearing yet. Nature knows better when your body is ready. While in normal miscarriage, a couple of weeks are enough for your body to recover fully.
The women who conceived within six months after miscarriage, faced less chances of another miscarriage or pregnancy related complications. The women who conceived after six months, faced high risk of another miscarriage and other pregnancy related complications like Ectopic Pregnancy and others. This was published in BMJ journal. The information were collected from pregnancies of 30,937 women who faced miscarriage during their first pregnancy,
"Women who conceived after two years of their miscarriage were more likely to face an Ectopic pregnancy or miscarriage than those women who conceived earlier. These women were also in high risk of giving birth through Cesarean or giving birth to premature or low weight baby than those who conceived again within six months after their miscarriage.", the study shows.
Another study which was conducted by WHO, in which medical records of 30,000 Scottish women were examined, showed that after miscarriage, conceiving again within six months have lower risk of another miscarriage and pregnancy related complications rather than conceiving within 6-12 months after miscarriage.
In short, after a miscarriage your body may take a time from few hours to a couple of weeks to recover. After the bleeding stops and you feel ready emotionally and physically, you can try to conceive right away. However we will recommend you to wait for one complete cycle to try again. After a miscarriage, your normal period may return from four to six weeks. Another reason for waiting for one cycle is that after your miscarriage, you are feeling grief and stress. Before trying again, be ready emotionally. Also have a look on your partner feelings. Be understanding to each other. Do not go in hurry to replace the grief of your lost baby and also do not wait long to try again. Waiting one cycle is enough unless there are some strong reasons behind waiting too long.
When you started a successful pregnancy after your miscarriage
What are the chances of having another miscarriage
If you have faced a miscarriage, it does not mean that your next pregnancy will also have a high risk of miscarriage. Some couples think that trying too soon after a miscarriage will increase the chances of having another miscarriage. It is not right at all. On the other hand trying right soon after a miscarriage reduces the chances of having another miscarriage and other pregnancy related complications. Only 5% of the women who have had a miscarriage, will have a risk of next miscarriage, and only 1 % of women who have had two or more consecutive miscarriages, will have a risk of another miscarriage.
Even if you have faced two consecutive miscarriages, you are still going to have a healthy miscarriage next. In most cases, two consecutive miscarriages occur only by the bad luck. However if you have faced three or more continuous miscarriages, there might be some medical problem. In this case you can consult you doctor for complete check up to know the underline problem.
How many miscarriages have you had?
What are the causes of miscarriage
The first and biggest cause of miscarriage is that the baby could not form correctly. There was a problem with developing baby and it was unable to survive, so the nature expelled it out. It is mostly due to errors with baby's genes or chromosomes or some errors may occur during the development of embryo and dividing cells, not a cause inherited from parents. The 50% miscarriages occur due to this cause.
Smoking can be a very minor cause of miscarriage. Similarly alcohol and other products which contain caffeine are harmful for pregnancy and can lead to a miscarriage if they are used in high quantity, studies show.
Another cause of miscarriage can be the health problem of mother. If a woman is suffering from uncontrolled diabetes or have a problem in her uterus or cervix, it can cause a miscarriage. Apart from these causes, the cause of miscarriages in most cases is unknown still. If you do not know the cause of miscarriage, do not be worry. Without knowing the cause or having medication, you are still able to get pregnant successfully without any fear.
It is said that 10% to 20% of pregnancies end in a miscarriage. However this percentage is high than this because most of the miscarriages occur so soon at the start of pregnancy that women are unable to feel it. In most cases, miscarriage is not the fault of woman. Most of the miscarriages occur by bad luck and chances of next healthy pregnancy are bright. Even if you have two or more consecutive miscarriages, you can conceive next successfully. Only in a few cases, three or more continuous miscarriages occur. If this happens, promptly consult your doctor for complete check up and to detect the problem.
A book which I found very helpful
Have the method I chose any effect on next pregnancy
In short, not at all. However surgical option can have slight effect of infertility problem. But it is so slight that you have no need to put any attention to this.
What steps can be taken to have a healthy pregnancy
Because more than 50% miscarriages occur due to abnormal development of baby and in other most of the cases cause of miscarriage is unknown, so there is nothing magic formula to avoid it. However you can do something to kill the minor causes of miscarriage which are known. For example before and during the pregnancy, avoid smoking, drinking, caffeine and illegal drugs and drugs which are not recommended during pregnancy. Use folic acid just before and during first few weeks of pregnancy. Manage your stress and be sure that before trying for pregnancy, both of you are ready emotionally and physically for this. Live a healthy life, eat healthy, have regular exercise and maintain your healthy weight.
When can we have sex after a miscarriage
You will have to wait for two weeks to have sex irrespective it was a normal miscarriage or D&C. Your bleeding must stop before you go for sex. However other ways of sex not involving vaginal penetration can be shared gently. The key thing is that your bleeding has been stopped before having sex. Bleeding normally stops within 7-10 days and waiting for two weeks, you can go for sex. If during sex, you feel again bleeding or cramping, stop it and wait for one week more. Waiting more for one week you can have sex and if still you face bleeding or cramping, promptly consult your doctor. Keep in mind that there are more chances of infection during bleeding of miscarriage than bleeding of period. Infection after miscarriage can make you infertile. Symptoms of infection are temperature, pain and offensive discharge.
Recent studies show that a daily taking of 400mcg of folic acid can reduce the risk of spina bifida when taken just before the pregnancy and during early weeks of pregnancy. This study was published in the Journal of the American Medical Association, was conducted by researchers from Sweden's Karolinska Institute in conjunction with the U.S. National Institute of Child Health and Human Services (NICHD).
Folic acid, also called folate, is a vitamin and leafy vegetables are major source of it. The women who take at least 400mcg of folate daily from their diet or supplements, can reduce the risk of their unborn baby of having a neural tube defect up to 70% which may lead to malformation of spine, skull and brain including spina bifida and anencephaly.
Folic acid is also very important for placental attachment. Its deficiency can cause separation of placenta, hypertension during pregnancy and low blood supply to placenta, all these may lead to a high risk of miscarriage.