Unfortunately, miscarriages happen. If you’ve had a miscarriage, I’m so, so, sorry for your loss – please know that we’re here for you at Kindara.
First and foremost, allow yourself to grieve as much as you feel is necessary. No matter how far along you were in your pregnancy, miscarriage can be very painful, and your feelings about it are valid.
This post is about what to expect to happen with your body after a miscarriage occurs, and how to resume charting again (when you’re ready, of course).
If the miscarriage occurred in the first ten weeks of your pregnancy, your doctor may give you the option to miscarry naturally, without medications or surgical procedures. If the miscarriage occurred later than ten weeks into your pregnancy, a D&C (dilation and curettage) procedure may be necessary to clear the uterus of pregnancy tissue.
Some women will be given the option to choose between having a D&C or miscarrying naturally. Women who have a history of gynecological problems may want to miscarry naturally so as to avoid any further complications with their reproductive health. On the other hand, miscarriage is often an emotionally painful process, and a D&C can help to get the process over with much faster. Ultimately, the option that’s best for you depends on a number of factors related to your personal health, and is best discussed with your doctor.
Because the amount of time it can take for you to start ovulating after a miscarriage can vary, the day you select as the first day of your cycle is not all that important – but, as a general guideline, you can mark the first day of red bleeding as the first day of your cycle.
Post-miscarriage bleeding can last anywhere from a few days to two weeks, and may be accompanied by abdominal cramps. The bleeding and cramps should diminish over time – however if the bleeding gets heavier and/or the cramps get worse, contact your doctor, as this may be a sign of an infection.
Some doctors recommend that women wait at least one cycle before trying to conceive again, as it can make it easier to calculate how far along you are in your pregnancy when you do get pregnant again. However, if you’re charting your temperatures and cervical fluid, you’ll know when you ovulated - so you’ll be able to tell approximately how far along you are in your pregnancy on your own! Also, if you get pregnant in the cycle immediately following a miscarriage, you shouldn’t have a greater risk of miscarriage than if you wait. If you want to start trying to conceive again right away, talk with your doctor first to make sure there are no health complications that might make it beneficial to wait.
After post-miscarriage bleeding stops, some women will start ovulating again in as soon as two weeks – so if you’re ready to start trying again, you may want to start tracking your temperatures and cervical fluid right away. However, if through tracking your signs you find that you don’t ovulate right away, don’t get discouraged – some women can take six weeks or longer to ovulate, and some women may not ovulate at all in the first cycle following a miscarriage.
Once you become fertile again, your basal temperatures and cervical fluid should follow a similar pattern as before the miscarriage. So, as always, be on the lookout for an increase in wet, fertile-quality cervical fluid to indicate that ovulation is approaching, and a sustained temperature shift to confirm that ovulation has occurred.
If tracking your cervical position, know that the opening of the cervix may always feel slightly open from here on out. However, you should still be able to notice changes in the height and softness of the cervix.
The good news is, the majority of women who miscarry will be able to go on to have healthy pregnancies. Stay tuned for a future post on how to restore fertility after a miscarriage and how to reduce the risk of future miscarriages.
You can find more pregnancy loss resources here:http://community.babycenter.com/post/a43038577/links_to_miscarriage_resources?cpg=1&pd=-1
Questions? Feel free to ask in the comments section.