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Trying to Conceive After Miscarriage
Joel Bernstien, MD posted:
It's surprising to many couples to learn that 15% to 20% of all recognized pregnancies end in miscarriage. While the rate is not quite as high for first time moms, it is still a possibility. Fortunately, your ability to conceive after a miscarriage should not be greatly affected.

After a woman miscarries, it is important to refrain from sexual intercourse or placing anything in the vagina (tampons, contraception, etc.) for a couple of weeks. This will allow the cervix and uterus to return to their normal anatomical state. I usually schedule a quick follow-up examination for a patient after she's had a miscarriage. But this is not always necessary.

An old-school practice was to recommend that patients wait 2 to 3 months after a miscarriage before trying again. While there are certain situations when this may be ideal, most studies show that trying to conceive within this time period is safe.

I inform my patients that it may take 4 to 8 weeks to resume normal menstrual function. After a miscarriage, the pregnancy hormones in your body will rapidly drop, although it may take 2 to 3 weeks before hormone levels completely return to normal. It's not until then that your body will start the cycle that allows a woman to conceive again. So try not to get discouraged if you don't get pregnant again immediately after miscarrying.
DCR2003 responded:
I am finding it really difficult to understand why i have had soo many issues since me D&C in December 2011. I had bleeding off and on for 7 weeks after that, was put on birth control for a month to "reset" my hormones but had breakthrough bleeding midcycle, then went off of it, had break through bleeding, then got a 2 day period. I porceeded to take a BComplex that cycle and i have not had any breakthrough bleeding. I did ovulate but apparently did not concieve this month. This period is EXTREMELY heavy too. Should i continue taking BComplex? Im affraid if i stop then i will get breakthrough bleeding again? I never have had problems with breakthrough bleeding or getting pregnant and it seems like these problems occured ever since my d&c. I know i am ovulating bc of OPKs and we are doing it at the exact right times. Just a little frusterated thats all.
Joel Bernstien, MD replied to DCR2003's response:
Thank you for reading my blog. Your question does not warrent a response of 4000 characters or less. It is not uncommon to have some shakey cycles after a D and C. The good news is that you are now ovulating again and that bodes well for the future. I suggest addressing your global concerns with your provider as they know your full history well! Wishing you the best of luck. Stay positive.

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For more information, visit the Duke Fertility Center