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When does ovulation restart after a miscarriage?
Everyone’s experience of pregnancy loss is different. Many need time and support to recover before they try to conceive again. Others may wish to become pregnant as soon as possible.
In this article, we discuss how miscarriage affects the menstrual cycle and the signs of ovulation.
We also cover when it is safe to conceive again, whether people are more fertile after pregnancy loss, and the chances of experiencing another miscarriage.
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How does miscarriage affect ovulation?
After a miscarriage, the menstrual cycle restarts, and many women will have their first period 4–6 weeks later. However, it can take several months for the menstrual cycle to return to how it was before pregnancy.
It is normal to experience some bleeding after pregnancy loss. The first day of bleeding is day 1Trusted Source of the new menstrual cycle. Bleeding or spotting may continue for around a week after this.
Ovulation may occur around 2 weeks into this new cycle. Day 14 of the menstrual cycle is when ovulation typically occurs for women with regular periods.
Women are most fertile 3–5 daysTrusted Source before ovulation till around 1–2 daysTrusted Source after ovulation.
According to the American College of Obstetricians and Gynecologists (ACOG), women can ovulate as soon as 2 weeks after a miscarriage, if it occurs within the first 13 weeks of pregnancy.
If miscarriage occurs in the later stages of pregnancy, their cycle may take longer to adjust.
However, exactly when ovulation occurs will vary from person to person. For example, women who had irregular periods before pregnancy may find that their periods remain irregular.
Effects of miscarriage on the menstrual cycle
Ovulation can happen as early as two weeks after the loss of a pregnancy. For most women, bleeding from an early miscarriage resolves in about week. Bleeding may last longer if the miscarriage occurred in the late first or second trimester.
There may also be some spotting for up to four weeks. As bleeding lessens and hormone levels return to normal, your menstrual cycle will also resume.
Many women’s period returns within 4 to 6 weeks following a miscarriage. Day 1 in the cycle should be counted from the first day of bleeding from the miscarriage.
It may take a few cycles for your period to become predictable as your hormones regulate following the pregnancy loss. If your periods were unpredictable prior to your pregnancy, they’ll likely continue to be unpredictable.
An unpredictable cycle can make tracking ovulation more difficult, but it’s possible to get pregnant again within the first few cycles following a miscarriage. Read on to learn more about ovulation and pregnancy following a miscarriage.
How soon can you conceive following a miscarriage?
The World Health Organization advises waiting to conceive again until at least six monthsTrusted SourceTrusted Source after a miscarriage. That’s because some research suggests that getting pregnant within six months of a miscarriage increases chances of:
- maternal anemia
- preterm birth
- low birth weight
However, the American College of Obstetrics and Gynecology doesn’t recommend waiting. In fact, a comprehensive review of studies looked at by researchers at the University of Aberdeen found that women who conceived less than six months after a miscarriage had:
- a reduced risk for another miscarriage
- lower risk for preterm birth
- a greater chance of having a live birth
They also found that pregnancy within the first six months of a miscarriage didn’t increase risk for:
- low birth weight
If you do want to try and conceive right away, many experts advise waiting at least one menstrual cycle, where day one is the first day of menstrual bleeding.
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