If you have just had a miscarriage, your body will take time to return to its old self. Your experience with miscarriage would have been something you never want to go through with again, but if you want to be a mother in the near future you need to give yourself the time to recover fully. Take a deep breath, let the changes wash over you, and take good care of yourself and your body, because you deserve all the care in the world to bounce back to health.
Waiting for your periods after a miscarriage can be agonising. You have been through a lot, and now your body will take its time to heal and get back to its normal form. And during this time, even your first period after a miscarriage will depend entirely on you and your body.
Ideally, you should expect your first period to come after about four to six weeks of the miscarriage, i.e., when your body has finally healed from the loss of the foetus. Do not panic if your periods come early, but consider going to your gynaecologist if it gets delayed. If your period was regular before the miscarriage and pregnancy, then the interval of 4 to 6 weeks can be considered reasonable. Any further delays will warrant you to keep a close eye on things and head to the doctor.
Your first period after a miscarriage will be a little unusual as your body will be attempting to recover from the various changes it underwent. Your hormones will be all over the place and after a miscarriage, your hCG levels will need to reach zero. Sometimes, your body might even treat the miscarriage as a period, and your fresh menstrual cycle might just begin within a few days.
Expect your period to be heavier or lighter. It’s perfectly natural to have heavy bleeding during your first period after a miscarriage. You are likely to experience symptoms of pre-menstrual syndrome and witness a whole array of unusual things, such as extra cervical mucus in a range of colours and blood clots. It could be accompanied by discharge with a very strong odour. Apart from this, brace yourself for some pain as well as your first period after a miscarriage will be painful. Bleeding post miscarriage stops quickly after which you’ll observe spotting for a few days. A week later, you will notice spotting again accompanied by cramps and heavy bleeding.
Again, this is particular to each individual, but you can ideally expect a period to last for 4 to 7 days. It is difficult to state this exactly as it differs from woman to woman. It could be different based on whether you had a spontaneous abortion or a planned one, whether your period was normal before or not, how long your pregnancy was and any other conditions/experiences that you specifically had. You could spot for a month then bleed again; yes, it could be a very strange process! Do not panic about anything. Give your body time to adjust, and it will sort itself out. Complications are very rare.
Since the first period after a miscarriage can be tough on you physically, it would benefit you to take advantage of certain pain relief measures, like the following:
So, you have gone through one traumatic experience – the miscarriage – and you are now awaiting your period. While you do, do not stress your body out, both mentally and physically. Listen to what it’s trying to tell you through the symptoms of PMS, the emotional issues you are undergoing, and everything you have faced during this period. Embrace your changes, do not fight these symptoms and the other ups and downs you are going through. Expect everything to disappear in a few weeks and prepare for your new cycle.
You will witness a heavy flow followed by spotting, but sometimes the spotting may not stop even after weeks. Perhaps, bleeding may stop in between and then start again. In some cases, you may take a pregnancy test, and it could show a positive result. This indicates that your hCG levels are not back to zero, for which you need to consult a professional you trust and let him guide you.
If the flow is heavy, it can be a problem. If you have tested your hCG levels, and it is at 500 or more, it can pose a problem again. Your doctor may recommend a dose of progesterone. When the dose is done, your body will register this as a signal for your period to start again. This period could be light or heavy. If this happens to you, ensure you wait for one whole cycle before making any more attempts to conceive. Listen to your doctors; they know what they are doing.
The simple answer is, yes. If it has been a couple of months and you had been sexually active during this time period, then chances are that you may be pregnant again. In rare cases, consider getting a check-up done for Asherman’s syndrome, especially if you have undergone dilation and curettage as this can cause scarring within the uterus. In fact, one of the symptoms of this syndrome is the absence of periods.
First of all, this is a normal phenomenon. Your body is not in a normal place at the moment. Even if things happened regularly before pregnancy and miscarriage, it could take a while for things to settle down after a miscarriage. If you experience issues where there is only spotting, then contact your gynaecologist and ask for the shot of progesterone.
The time period after a miscarriage is sure to get you emotional, over the loss of your baby, over the different things happening in your body, everything. Obviously, it will be hard for you to immediately return to your normal self after a miscarriage, but here are a few things you can do to ease the struggle.
Embrace the experience your body has gone through and remember to listen to it every step of the way. Whether you had a planned abortion or a miscarriage, your reproductive system comprises of a delicate balance that makes its demands very clear. Your body just needs to go through all the changes that are required post a miscarriage, and perhaps with a little help from a professional, you will be able to manage it much better.