A woman whose pregnancy has been terminated is wondering when her period will begin after a miscarriage. If menstrual flow does not come on time, this usually indicates the development of pathology. If any abnormalities are detected, you need to contact a gynecologist. You may need to undergo an examination to identify the causes of reproductive failure.

When will my period come after a miscarriage? Each woman’s body is individual, but there are certain deadlines, deviations from which are considered pathology. How quickly your cycle returns to normal depends on a number of factors. It is necessary to take into account how the pregnancy proceeded, why it was interrupted, and also remember that after a spontaneous abortion, fetal particles may remain that can lead to complications.

The period after a miscarriage

In the early stages, a woman, as a rule, is not aware of her “interesting” situation and does not take action to maintain the pregnancy, so the probability of miscarriage is very high. During gestation, hormonal changes occur in the body. Consequently, any miscarriage leads to hormonal imbalance and becomes stressful not only for the woman, but also for her reproductive system.

There are four types of spontaneous abortion, each of which corresponds to a certain stage of pathology: failed, incomplete, threatened, begun and completed. When the body will recover largely depends on at what stage of the gestational period the failure occurred, as well as on the individual characteristics of the reproductive system.

Menstruation after a miscarriage should not be confused with bleeding, which is considered normal. How many days the discharge will last is determined by the period of spontaneous termination of pregnancy and the degree to which the uterus is cleared of the embryo. Discharge may bother a woman for 4-10 days. If bleeding does not stop after this period, you should consult a doctor.

Most likely, the gynecologist will send the patient for an ultrasound examination to make sure that there are no remnants of the fertilized egg in the uterus, because otherwise an inflammatory process will occur. It is possible that after a spontaneous abortion it will be necessary to carry out additional cleaning of the reproductive organ. Menstruation will begin as soon as the uterus contracts and hormonal levels normalize.

How long does it take to get your period after a miscarriage?

During pregnancy, the body undergoes significant restructuring, so if pregnancy is interrupted spontaneously, menstruation does not occur immediately. In a successful scenario, the first cycle begins 25-35 days after the failure occurred (depending on the woman’s health, the length of the terminated pregnancy, additional cleaning of the uterus and a number of other indicators).

If your period does not come after this period, you should consult a specialist. A deviation is also considered to be the onset of the menstrual cycle too early after a spontaneous abortion, for example, when the bleeding that opens smoothly turns into menstruation. In this case, it is necessary to perform an examination to identify the causes of the pathology and, if necessary, undergo treatment.

The first periods after a miscarriage can be of varying intensity. If a woman discovers that the discharge has become more abundant than before, then there is no need to be alarmed. This phenomenon is considered normal. Excessive and prolonged bleeding often indicates rejection of fetal remains by the uterus. This pathology can be observed over three or four cycles.

When should you contact a gynecologist? If menstruation after a spontaneous abortion is very painful, accompanied by an increase in body temperature and blood clots.

The first 2-3 cycles after a miscarriage often include spotting, which is considered a physiological norm. Various cycle lengths are allowed within 2-3 months after spontaneous termination of pregnancy.

Delayed menstruation after miscarriage

How long it will take for your period to come after a miscarriage depends, first of all, on how quickly the body returns to normal. Pregnancy is accompanied by significant production of progesterone, and after its interruption, active secretion of estrogen begins. A woman may note that she does not get her period until her hormonal balance is restored.

If a new cycle does not begin 40-45 days after a miscarriage, then it is advisable to consult a specialist. To determine the cause of this phenomenon, a woman will have to undergo an ultrasound examination, as well as examinations to detect endometritis, malfunction of the ovaries, hormonal imbalance, infection with infectious diseases, and take blood and urine tests.

Having detected violations, the doctor will prescribe treatment. Most likely, the use of hemostatic and anti-inflammatory drugs will be required. If the fetus does not fully emerge from the uterus, additional curettage will be required. If a miscarriage occurs late in gestation, the rehabilitation period will most likely be prolonged. In this case, the woman will probably be offered to go to hospital.

How long after a miscarriage will there be a chance to get pregnant? New life can be born even before the cycle normalizes. That is why, if a woman’s menstruation is late, she will need to take a pregnancy test. Considering the psychological and physiological problems that arise after a miscarriage, it would be wrong to plan a child until the body has fully recovered.

After a miscarriage, your period normally comes within 21–35 days. Bleeding on the day of spontaneous abortion is conventionally considered the first day of the cycle.

It is worth distinguishing between discharge after a miscarriage and menstruation. The first is a consequence of cleansing the uterus from fetal remains and endometrium. They will come immediately after the interruption and will last up to about 10 days. Their nature and abundance depend on the causes of the incident and the duration of pregnancy.

The timing depends on when the miscarriage occurred:

• Less stress is applied to the body in the early stages of gestation; it has not yet had time to rebuild and less time is needed for recovery.
• For a period of more than 15 weeks, changes in the body are serious, the recovery period will be long.

Normally, menstruation begins 21 to 35 days after a spontaneous abortion. They last no more than 1 week, do not have an unpleasant odor, and are moderate in abundance.

How many days later does the first menstruation come after an interruption depends on the following factors:

• Gestation period. If the interruption occurs before 12 weeks, then the next menstruation will occur in approximately 28 days. But there is always a possibility of delay. In case of a late-term miscarriage, 1.5–2 months may pass before the first menstruation.
• Cleaning or curettage of the uterine cavity. This is done for incomplete miscarriage, when there are remnants of membranes in the organ. After cleansing, the body takes longer to recover.
• Cycle disruption. If a woman had pregnancy before pregnancy, she is more likely to have a delay after the termination.

If a spontaneous abortion occurs with complications, it may take up to 6 months for the body to fully recover.

When is cleaning needed?

If there is a miscarriage in the first trimester, there are no indications for curettage if:

• the process is accompanied by bleeding;
• the fertilized egg came out completely.

For diagnosis, an ultrasound is performed, based on the results of which the doctor decides on the advisability of cleaning:

• If interruption of gestation occurs in the first trimester (4–9 weeks), then you can do without cleaning the uterine cavity.
• If there are minor remnants of membranes left in the organ, they may come out on their own over the next two to four weeks as a result of the organ’s self-cleaning. If the condition is satisfactory, women are prescribed medications and watchful waiting is applied.
• If the uterus is clean and this is confirmed by ultrasound, curettage is not required.
• If there are large fetal remains in the uterine cavity or after a frozen pregnancy, cleaning is always done.

More than 70% of spontaneous miscarriages result in spontaneous cleansing of the uterus.

Nature of the discharge

How long does it take for a woman’s cycle to normalize? After about one or two months. The discharge should be moderately abundant, without large clots, with a normal odor and color.

Symptoms to be wary of:

• Excessively heavy periods. If the pad has to be changed after 1–2 hours, you should consult a doctor. Possible causes are the remains of embryonic tissue in the uterine cavity, the presence of fibroids, the development of endometriosis.
• Scanty discharge. The reason is deep curettage of the endometrium in the uterine cavity after an interruption or frozen pregnancy.
• Never-ending daub. It occurs if not all fetal tissue has left the uterine cavity. Other reasons are the development of inflammation, infection.
• Discharge with an unpleasant odor. A sign indicating infection. Possible in the presence of sexually transmitted diseases, non-compliance with doctor's prescriptions, refusal to take antibiotics.
• Severe pain. Pain syndrome may be a consequence of the development of adhesions in the uterine cavity, spasm of the cervical canal, or the addition of an infection.

Video about the symptoms of interruption

How many days are there?

On average, menstruation begins within a month. Its duration is from 3 to 7 days.

The discharge that occurs immediately after spontaneous abortion lasts up to 7 days.

Planning a pregnancy

To speed up the recovery of the body, women are often prescribed hormonal drugs - contraceptives. Taking them will restore hormonal balance and prevent the appearance of functional cysts.

Another advantage of prescribing contraceptives is the prevention of a new conception in the near future.

In theory, pregnancy after a miscarriage can occur at the next ovulation. But it is important to take into account that the body has suffered severe stress and a hormonal surge. For this reason, conception should be postponed for 6 months. This time will be enough to recover and identify the cause of the miscarriage.

When can you plan your next pregnancy?

• If there is a miscarriage at less than 12 weeks, conception is recommended no earlier than after 3 months.
• For late miscarriage after 12 weeks, conception is recommended after 6 months.

If a miscarriage occurs, further actions should not be aimed at the next conception, but at establishing the cause of what happened. For this, the woman is prescribed a comprehensive examination.

During this difficult period it is necessary:

• Completely abstain from sexual activity for 2–3 weeks after interruption.
• Take birth control for the duration recommended by your doctor.
• Eat right.
• Give your body moderate physical activity.
• Maintain a work-rest schedule and try to avoid stress.

The loss of a child, even in the early stages of pregnancy, is a strong psychological blow for a woman. The longer the period, the more difficult it is for the body to recover. After a miscarriage, especially in the first three months, it is necessary to closely monitor menstruation and the condition of the body as a whole. If any deviations occur, you should contact a gynecologist. Let's figure out when menstruation starts after a miscarriage, what is considered normal and what is a deviation.

Condition of the body and causes of miscarriage

The psychological and physiological state of a woman is of great importance for the successful course of pregnancy. Miscarriage can occur at different stages of pregnancy. It is a situation where the developing embryo cannot stay in the uterine cavity for various reasons. A miscarriage is accompanied by symptoms such as:

• bleeding

The appearance of bleeding is due to the fact that the placental bladder breaks away from the walls of the uterus and leaves it along with the embryo. It is very important that all remnants of the undeveloped embryo come out of the cavity. If this does not happen, then an inflammatory process and even sepsis may develop. In such cases, doctors carry out.

• pain in the lumbar region

Inflammatory processes in the reproductive organs most often manifest themselves as pain in the lumbar region. This occurs because the nerve endings from the uterus extend to the spinal column, and if there is a deviation in the functioning of this muscular organ, they respond with pain in this area.

• cramping pain in the lower abdomen

They are associated with cramps in the uterus. To push out the placental bladder, blood and remains of the embryo, it contracts.

If such symptoms are observed, you should immediately consult a specialist.

Spontaneous abortion is divided into the following types:

• at the beginning of pregnancy

In this case, in the first 2-3 months of pregnancy. During this period, the woman’s body does not yet have time to fully adjust at the hormonal level. Therefore, this physiological stress will have a less traumatic effect on the reproductive system. After a miscarriage during this period, the woman’s body quickly returns to normal.

• mid term

Pregnancy failure at 4-6 months seriously affects a woman’s body. The fruit is already almost formed. During this period, curettage is most often prescribed, since particles of biomaterial remain in the uterine cavity.

During this period, the baby is fully formed and miscarriage is often classified as premature birth with a live or dead fetus.

If there is a miscarriage in the early stages, the body can recover more easily, since hormonal changes have just begun to take place.

The causes of spontaneous abortion can be different; they can be divided into physiological and psychological.

The nature of menstruation after a miscarriage

After a miscarriage, a woman’s body should return to normal. This requires about six months, and if there were complications, the process may drag on for a longer period. After pregnancy failure, menstrual function should be restored again. In the first 3-4 months, your periods may not be as usual, and your cycle may be irregular.

You should expect another bleeding within a month from the moment of miscarriage. A woman needs to pay attention to the nature of the discharge:

• amount of blood

Normally, during the first menstruation after a miscarriage, the frequency of changing pads should be no more than 4-5 times a day. If this happens more often, then we can state the presence of bleeding, especially if the color of the blood is not dark, but scarlet.

• smell

An uncharacteristic smell should also alert you; if it is sour, putrid, then there is an inflammatory process. You should immediately contact a specialist to prevent the development of sepsis.

The color of menstrual blood is usually red with a brownish tint; if the blood is scarlet, then this indicates the presence of bleeding; if the discharge is brown or black, then this indicates a hidden inflammatory process.

• duration

The duration of menstruation after a miscarriage should not exceed a week. If they do not stop, then you need to consult a doctor. The menstrual cycle during this period may vary slightly, this is normal, since the woman’s body has not yet recovered from the miscarriage.

• physiological symptoms

The presence of severe pain and spasms should also alert you. Such physiological discomfort indicates the presence of a hidden inflammatory process.

If there are any deviations, you must contact a specialist. Depending on the test results, ultrasound readings and the physiological state of the woman, she may be prescribed curettage.

Alarming symptoms

You should be alert to the following symptoms:

• duration of menstruation for more than a week;
• copious bleeding;
• pain in the lower back and lower abdomen;
• increased body temperature;
• foul odor;
• irregular cycle.

How quickly a woman’s monthly cycle recovers is influenced by various factors:

• was there any scraping?

Any mechanical impact on the mucous membrane of the uterus and vagina, even done by a high-level specialist, leaves microscratches on it, which then take a long time to heal and can fester and become inflamed.

Cleaning significantly increases the process of rehabilitation of the reproductive system after a miscarriage. There is a risk of adhesions and neoplasms. Your periods may remain irregular for a long time.

• at what stage was the embryo aborted?

The shorter the pregnancy before the miscarriage, the better. The body does not have time to rebuild and receives less physiological stress. After this, periods usually return to normal within six months.

• cause of pregnancy failure

This also plays an important role. If the cause of pregnancy failure was any traumatic factor, for example, a fall or an accident, then recovery will take many times longer. When a miscarriage occurs due to psychological stress, the recovery process is somewhat easier.

• general health

The overall health of the female body is of great importance. If the immune system is weakened, there are many chronic diseases, including those of the reproductive system, then it will take a long time for menstruation to return to normal.

Causes of irregular periods after miscarriage

Sometimes it happens that menstruation does not return for quite a long time. The main reasons for this may be the following:

• adhesions of the organs of the reproductive system;
• malfunction of the ovaries;
• hormonal imbalance;
• severe psychological stress;
• poor environment and nutrition.

The nature of menstruation after a miscarriage is influenced by a large number of different factors. On average, it takes 5-6 months for a woman’s body to return to normal.

How to restore your menstrual cycle after a miscarriage

During this difficult period, a woman’s body needs supportive therapy. You should not self-medicate; before taking any medications, you should consult a specialist. The main ways to normalize menstruation after a miscarriage include the following:

• vitamin therapy

Before taking various vitamin complexes, you should consult a gynecologist. Depending on the condition of the body and the specific medical history, the doctor will select the necessary medications that are best suited to quickly improve the condition of the reproductive system.

• traditional medicine

Do not forget about the healing power of natural ingredients. To restore menstruation during the period after a miscarriage, various herbal decoctions, such as oregano, mint, and lemon balm, are suitable. They will help calm the nervous system and accelerate regenerative processes in the body.

• light physical activity

We should not forget about physical therapy during this period. This will help the body get in shape and gain strength. However, the loads should be light so as not to provoke a deterioration in the woman’s condition. To do this, you need to discuss this point with a specialist.

• walks in the fresh air

This is necessary to enrich the body with oxygen and restore the psychological and physiological strength of the body.

• dietary review

Don't overload your digestive system. Include more fresh vegetables and fruits in your diet. Try to eat less fatty, carcinogenic foods and fast food.

• review of sleep and rest patterns

This is necessary, especially in the first time after a miscarriage, so that the body can recover faster.

• no stress

This is one of the main factors for normalization after pregnancy failure. Often it is the psychological factor that is the main cause of miscarriage and premature birth.

• work with a psychologist

Sometimes a pregnancy failure has such a strong impact on a woman’s psyche that she can go into deep depression. It is important to understand that this period simply must be survived; there will still be a chance to become a mother. If you cannot get out of this state on your own, then you need to seek help from a specialist.

Pregnancy failure is a serious psychological trauma for a woman. In the first months after a miscarriage, it is necessary to monitor the condition of the body and the menstrual cycle. In case of various types of abnormalities, such as uncharacteristic color and smell of discharge, long duration, pain, you should contact a gynecologist. With normal rehabilitation, periods after a miscarriage are restored within six months.

Content

When a pregnancy is spontaneously terminated, bleeding occurs, but it should not be confused with menstruation. Menstruation after a miscarriage begins 21-35 days later. The exact period depends on the patient’s health status, hormonal levels, and the regularity of the cycle before spontaneous abortion.

Features of the menstrual cycle after miscarriage

When pregnancy occurs, the amount of progesterone, a hormone necessary for the development of the fetus, increases significantly. If the fertilized egg is rejected, it turns out that the hormonal background changes dramatically, and a restructuring of the body begins. This affects the nature of menstruation, which begins after a spontaneous abortion.

Bleeding that occurs after a miscarriage is similar in nature to menstruation. It is necessary for the uterine cavity to be freed from the endometrium, which has grown under the influence of progesterone. The discharge will be heavier than during normal periods. During this period, you need to monitor their intensity so as not to miss the onset of bleeding.

Some women have no problems after pregnancy loss. Sharp fluctuations in hormone levels can lead to malfunctions of the pituitary gland, hypothalamus, and ovaries. As a result, the regularity of a woman’s cycle is disrupted, the intensity and nature of the discharge changes.

How long after a miscarriage does your period start?

After an unplanned termination of pregnancy in the absence of complications, menstruation begins after 28-35 days. If a woman had a cycle length of more than 35 days before pregnancy, the situation will not change. You should expect the onset of your next menstruation after the usual number of days. The countdown starts from the date when the pregnancy was terminated.

If you experience a delay in menstruation after a miscarriage, you should consult a gynecologist. In the absence of menstruation, a gynecological examination and ultrasound are performed. Examinations are needed to assess the condition of the uterus and ovaries. Sometimes drug therapy is required to restore hormonal levels.

Important! If there is heavy discharge, doctors recommend monitoring blood counts in order to promptly detect the onset of anemia.

Periods after early miscarriage

Termination of pregnancy, even in the first weeks, is a great stress for the body. In the absence of complications and rapid recovery of the body, the next period will come after 4 weeks.

With early miscarriage, complications are rare. The fertilized egg comes out completely; the likelihood that the uterine cavity will not be freed from foreign bodies is low. The nature of discharge after spontaneous abortion in the early stages is practically no different from standard menstruation.

When does your period start after a late miscarriage?

If you have a miscarriage in the 2nd trimester of pregnancy, the risk of complications is higher. If there are no problems, your period will start in 3-5 weeks. During a long pregnancy, complex hormonal changes occur in a woman’s body. It takes time for the condition to normalize.

If you have a long-term miscarriage, complications may arise; recovery takes 1-6 months. Some women experience their periods earlier than expected. If they are brown in color or have a distinct unpleasant odor, an ultrasound is required. The cause of this condition is the incomplete delivery of the fetus, the child's place, in which foreign bodies remain in the uterine cavity.

Patients with late spontaneous abortion are prescribed curettage. The operation allows you to free the uterine cavity from foreign objects. This reduces the likelihood of complications.

Periods after miscarriage without cleaning

If a woman's fertilized egg is completely expelled, no additional medical intervention is required. The next menstruation will begin in a month. Doctors recommend a control ultrasound a week after the fertilized egg leaves the uterus. An examination is necessary to make sure that all foreign bodies have come out and that no inflammatory or adhesive process has begun in the cavity.

Important! The nature of menstruation may vary. If there is a miscarriage without subsequent curettage, many women's periods are heavier and more painful.

Periods after miscarriage with cleaning

Immediately after a surgical abortion for medical reasons, menstrual-like discharge begins. They last 3-5 days. If there are no problems after the miscarriage and curettage, menstruation will begin a month later. If your period appears before the 21st day of your cycle, you should see a gynecologist. The doctor will assess your health and check for postoperative complications.

After a surgical abortion, a woman may face the following problems:

• development of endometriosis;
• the appearance of hormonal disorders;
• activation of the adhesive process.

The nature of the discharge after curettage should not differ from normal. If your periods are scanty or heavy, the release of blood is accompanied by the appearance of a large number of clots and an unpleasant odor, then you need to check your reproductive health.

Duration and nature of the first menstruation after a miscarriage

The first menstruation after an unplanned termination of pregnancy in the absence of health problems should not differ from normal menstruation. The onset of discharge 3-5 weeks after the date of miscarriage is considered normal. Over time, the regularity of the cycle is restored.

In the first 1-2 cycles, women complain of heavy periods, which cause severe pain in the lower abdomen and sacrum. The appearance of blood clots and mucus is allowed. But after 2 months the situation should normalize.

Do not panic if you experience heavy discharge in the first days of your period. The exception is when the pads have to be changed every 1-3 hours. A visit to the gynecologist is necessary if the condition has not returned to normal by the 3rd cycle.

If after the birth of the fetus a woman does not stop bleeding, the discharge continues for a whole month, then doctors recommend an ultrasound scan. Based on its results, it is decided whether it is necessary to scrape the uterine cavity. This procedure is performed to stop bleeding.

How many days does your period last after a miscarriage?

The standard duration of bleeding after termination of pregnancy is 7-10 days. The next menstruation should begin in a month. The duration of menstruation varies from 3 to 7 days. A reason for panic will be the appearance of scanty discharge that stops after 2 days, heavy bleeding lasting more than a week.

What discharge is considered normal?

Gynecologists recommend that patients after spontaneous abortion monitor the nature of menstruation. It is considered normal if about 20-50 ml of blood is released per day, the maximum permissible blood loss is 80 ml. If 4-6 pads are enough for a day, then there are no deviations from the norm.

Attention! The appearance of a small amount of blood clots and mucus is normal.

Scanty periods after miscarriage

As a result of stress and sudden hormonal changes in the uterus, some patients develop synechiae. One of the symptoms of adhesions is scanty periods.

A decrease in the abundance of discharge is possible due to hormonal disorders. To identify problems, hormonal levels are examined, the condition of the uterine cavity and fallopian tubes is checked.

Heavy menstruation after miscarriage

Women who have to change pads every 2-3 hours should contact their gynecologist with complaints of heavy periods. By establishing their cause, you can avoid worsening the condition and causing complications. Some patients may confuse heavy discharge with the onset of bleeding. Lack of timely medical care is one of the causes of death.

The appearance of heavy periods is possible with the activation of the inflammatory process, the development of endometriosis, and the addition of an infection. Depending on the situation and cause, doctors prescribe diagnostic curettage of the uterine cavity or select drug hemostatic therapy.

Why are there no periods after a miscarriage?

If a patient does not begin menstruation after 5 weeks after termination of pregnancy, then they speak of a delay. Reasons why your period may not start on time:

• the appearance of a new pregnancy;
• functional disorders of the ovaries;
• changes in hormonal levels;
• inflammatory diseases;
• adhesive process.

Sometimes the absence of menstruation is a consequence of severe stress experienced by a woman. If there are no physiological changes indicating a deterioration in health, then wait-and-see tactics are used.

Possible complications

After a spontaneous abortion, a woman needs to closely monitor her health; during this period, many chronic diseases worsen, and new ones arise. After a miscarriage, the following complications may occur:

• hormonal imbalance, malfunction of brain structures, ovaries;
• development of infectious and inflammatory diseases due to activation of pathogenic microflora;
• adhesive process, as a result of which the fallopian tubes become obstructed.

These reasons can lead to secondary infertility. You can avoid the occurrence of most complications if you control your condition, take prescribed medications, and consult a doctor if problems arise.

Important! After a miscarriage, you need to do an ultrasound of the uterus and appendages, check for hidden infections: mycoplasmosis, ureaplasmosis, chlamydia, cytomegalovirus, HPV, herpes.

If a spontaneous abortion occurs, doctors often prescribe oral contraceptives. You need to take the pills for 3-6 months. They are recommended to be taken to minimize the likelihood of pregnancy during this period and to avoid the development of hormonal problems.

Conclusion

Menstruation after a miscarriage, in the absence of health problems, begins after 21-35 days. If the body was able to recover within a month, then the nature and intensity of the discharge will be the same as during normal menstruation. Minor changes in the amount of discharge over 1-3 months after spontaneous abortion are normal. If you notice significant deviations in the nature of menstruation, pain, or a disturbance in your general condition, you should consult a gynecologist.

For every woman who has experienced a miscarriage, the most important thing is to get out of this situation with the minimum possible losses - to give birth to a healthy baby after this. The next pregnancy after a miscarriage is planned, and normal periods after a miscarriage are an integral part of a woman’s health and future conception.

What you need to know about periods after a miscarriage

Bleeding is an integral companion and the first symptom of miscarriage. Strictly speaking, the first day of bleeding accompanying a spontaneous abortion is considered the first day of menstruation after a miscarriage. On average, such menstrual bleeding lasts about ten days. Over the next month and a half, minor bleeding may recur periodically. Their duration and intensity are directly influenced by factors such as nervous stress, the presence of concomitant infections or bacterial complications.

The next full period after a miscarriage should normally begin within 21-35 days. It should be borne in mind that in the vast majority of cases, a miscarriage is the cause or consequence of a hormonal imbalance in a woman’s body, so the first few cycles after a miscarriage may be longer than usual. Since the regularity of menstruation after a miscarriage is restored over a certain period of time, a woman should consult a gynecologist about her desire to use oral contraceptives.

The first period after a miscarriage is often quite heavy. Over the next few months (usually no more than two), the volume of menstrual bleeding should normalize, otherwise there is reason to assume the presence of other diseases of the pelvic organs or an infection. This complication is dangerous due to the possibility of developing heavy uterine bleeding, which threatens the woman’s life; it requires hospitalization and adequate medical measures in a medical hospital.

Heavy periods after a miscarriage often lead to the development of iron deficiency anemia. Symptoms of the disease are increased fatigue, weakness, drowsiness, and pale skin. Once the diagnosis is confirmed, the doctor prescribes iron-containing medications to the patient in an individual dosage in order to normalize her condition.

Modern medicine differentiates miscarriages according to a number of characteristics. So, they distinguish:

• Threatened miscarriage;
• Failed miscarriage;
• Incipient miscarriage;
• Incomplete miscarriage.

If significant bleeding occurs after a miscarriage, regardless of the type, a decision is made on additional curettage of the uterine cavity and subsequent ultrasound monitoring of its quality. This procedure has a direct impact on the nature of menstruation after a miscarriage. If remnants of fetal tissue remain in the uterine cavity after a miscarriage, this can lead to infection, bacterial and inflammatory complications, the development of heavy periods after a miscarriage, and even bleeding.

If there is no heavy bleeding, then in modern gynecology it is customary to limit ourselves to ultrasound monitoring of the condition of the uterine cavity after a miscarriage approximately once every seven days. In a situation where the uterus is clean or has a small number of clots, but the woman’s condition is satisfactory, drug treatment is indicated - antiprogestins, prostaglandins, etc., as well as medical supervision using ultrasound.

According to statistics, more than 70% of miscarriages end in self-cleaning of the uterus after a miscarriage. If there are indications for it, expectant management lasts from two to four weeks.

Cycle after miscarriage

Curettage helps to avoid these and other negative consequences of spontaneous abortion, and fetal tissue sent for histological examination makes it possible to establish the cause of the miscarriage and prescribe adequate medical correction of the condition. In general, this set of measures allows you to plan your next pregnancy with minimal risks to the health of the mother and fetus.

In order to normalize the cycle after a miscarriage, a course of treatment is also prescribed. As a rule, it consists of:

• Anti-inflammatory;
• Antibacterial;
• Antifungal;
• Iron-containing;
• Hemostatic drugs;
• Medicines that cause uterine contractions.

Restoration of sexual relations is indicated after one menstrual cycle, since the tissues of the uterus after a miscarriage are still injured and can become infected during sexual contact; first sexual intercourse should be protected.

You need to know that a pregnancy that occurs soon after a miscarriage has a high probability of having the same unfavorable outcome, therefore, together with your doctor, you need to select a method of contraception that is suitable from different points of view (as a rule, these are oral contraceptives).

The female body needs restoration, establishment of the cause of miscarriage, including examination of the hemostasis system, and full treatment. It is correct to plan conception only five to six cycles after a miscarriage (at least three). Before this, it is important to make sure that your menstrual cycle is regular, as well as to adhere to a healthy lifestyle - normalize your diet and sleep patterns, introduce regular physical activity and walks in the fresh air. A woman needs to give up bad habits and maintain an adequate emotional state.

All of the above applies to planned pregnancy. If conception soon after a miscarriage did occur unplanned, then you should not despair - it is likely that the body is already ready for a new pregnancy. You just need to immediately notify your doctor about it and follow all his recommendations.

Uterus after miscarriage

No less dangerous than heavy periods after a miscarriage are scanty periods for a woman. After the actual spontaneous termination of pregnancy, as well as in response to the subsequent curettage, synechiae, that is, adhesions, can form in the uterus after a miscarriage. Intrauterine synechiae have an effect similar to a spiral, that is, they act as a local mechanical contraceptive and prevent conception.

Also, scanty periods after a miscarriage may indicate hormonal imbalances caused by stress. For a reliable diagnosis, the patient is prescribed laboratory tests on the 2-3rd day of the menstrual cycle, and also undergoes hysteroscopy. In addition, hysterosalpingography or sonohysterosalpingography is used to examine the patency of the fallopian tubes.

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