When Do You Ovulate after a Miscarriage?
Having a miscarriage is a physically and emotionally challenging experience. In the weeks following a miscarriage, many women experience a roller coaster of emotions.
It may be confusing and stressful to start trying for another baby after experiencing a miscarriage or pregnancy loss. Some women may not know when it’s best to start trying. Some may worry about their odds of miscarrying again.
If you’ve experienced a miscarriage and are wondering when you ovulate after a miscarriage, this article will cover the facts about how miscarriage affects your menstrual cycle and getting pregnant after miscarriage.
How Miscarriage Affects Ovulation
After a miscarriage, a woman’s body goes through hormonal shifts as it readjusts to not being pregnant.
The woman will bleed during the first few days or after pregnancy loss. Some women may experience vaginal bleeding for up to three weeks after a miscarriage. Some may experience spotting for one week.
Miscarriage resets your menstrual cycle. In most cases, menstruation resumes approximately four to six weeks after miscarriage.
However, it can take some time—up to several months—for your menstrual cycle to return to how it was before you became pregnant.
When’s the Best Time to Start Trying for Another Pregnancy
You and your partner might experience intense feelings of loss after miscarriage. You may need time to process a miscarriage, and it is normal if you and your partner grieve afterwards.
The feeling of losing a pregnancy might cause one or both partners to be depressed, and this may interfere with their desire to have intercourse. Some couples may need counselling to cope with their loss.
Generally, couples can resume sexual intercourse when they feel ready. If you’re not sure about this, you can discuss it with your obstetrician-gynecologist. Your doctor will provide the best advice based on your situation.
While you can ovulate and get pregnant as soon as two weeks after a pregnancy loss, your doctor would recommend that you don’t have vaginal intercourse for at least two weeks after the miscarriage.
This is because after miscarriage, your cervix is slightly open, making you more susceptible to developing an infection in your uterus. By the time you stop bleeding, your cervix should be closed again.
Some doctors also advice that after miscarriage, the woman should avoid inserting anything into her vagina (e.g., tampons) for two weeks.
How Will You Know When You Ovulate after Miscarriage?
Each woman’s body is different—some women can ovulate as soon as two weeks after miscarriage, while some can ovulate much later.
The American College of Obstetricians and Gynecologists reports that women can ovulate as early as two weeks after a miscarriage, if it occurs in the first trimester of pregnancy. A woman’s cycle may take longer to adjust If she miscarried in the later stages of pregnancy.
Nevertheless, scientists cannot confirm when ovulation occurs after a miscarriage because it will vary from woman to woman.
If you’re trying to track ovulation after pregnancy, below are some methods that can help.
Watch Out for the Signs and Symptoms of Ovulation
This method is somewhat unreliable because not all women experience these symptoms. The most common signs and symptoms include:
- Mild cramping or pain on one side of the pelvis
- Breast tenderness
- Abdominal bloating
- Fertile vaginal mucus (clear, egg white-like, stretchy discharge)
Basal Body Temperature Tracking
You can track your daily basal body temperature (BBT) using a basal thermometer. By tracking your BBT over several cycles, this can help you predict when you are likely to ovulate.
Your BBT will dip a bit just before ovulation. Then, after the egg is released, your temperature will rise and stay up for several days.
For most women, the BBT reading will be 0.5–1.0°F higher when ovulation occurs, and it will stay up before returning to normal one to two days before menstruation.
However, some women may find it difficult to take their BBT at about the same time in the morning before getting out of bed. In such cases, the Ava bracelet may be very helpful.
The Ava bracelet is a fertility monitor that you wear before going to sleep to help you collect data on your cycle. It also comes with a fertility monitor app that allows you to take a look at these data when you wake up in the morning.
Another intelligent fertility monitor is Lady-Comp, which uses your oral basal body temperature and menstrual data to determine your fertile and non-fertile days.
Ovulation predictor kits work by detecting the levels of luteinizing hormone (LH) in urine. When your LH levels increase, it causes the release of an egg from your ovary. An ovulation predictor kit will detect the surge in LH, which usually happens about 36 hours before ovulation.
Devices such as the Clearblue Fertility Monitor test two hormones (LH and estrogen) to predict fertility. Others such as Fertile Focus and KNOWHEN Advanced Saliva Ovulation Predictor Kit detect the estrogen surge.
Just before ovulation, women experience an estrogen surge, and a characteristic fern-like pattern can be observed in their saliva due to the hormonal changes. Saliva-based ovulation predictors use a magnification lens to easily identify these crystal “ferning” patterns.
What Are the Odds of Another Miscarriage?
Generally, multiple miscarriages are rare. Most women who have a miscarriage will have healthy pregnancies after miscarriage.
According to the American College of Obstetricians and Gynecologists approximately 1% of women experience repeated miscarriages.
The cause of miscarriage is unknown in about 60% of miscarriages. In some cases, some genetic problems and medical conditions have been reported to increase the risk of repeated miscarriages.
If you have experienced a miscarriage, you should discuss the possible reasons with your obstetrician-gynecologist, who can perform investigations to detect possible underlying causes.
Also, if you have experienced multiple miscarriages, this does not imply that you cannot have a healthy pregnancy. The American College of Obstetricians and Gynecologists estimates that about 65% of women with unexplained recurrent miscarriage have a successful next pregnancy.
Can a Miscarriage Be Prevented?
Generally, there’s nothing you can do to prevent a miscarriage. Nevertheless, you can make healthy lifestyle choices for you and your baby’s health.
You can take a daily prenatal vitamin or 400 mcg of folic acid every day for at least one month (before conception) and during pregnancy.
During pregnancy, limit caffeine consumption to 200 mg a day. This corresponds to about two mugs of instant coffee. You should also avoid drinking alcohol, smoking and using recreational drugs.
It is possible for you to get pregnant as early as two weeks after miscarriage. However, you should talk to your doctor as they are in the best position to advice you based on your case. You should also consider seeking counselling if needed.