Miscarriage and the Return of Your Period

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Whether you're planning to try again right away or not, chances are you're curious about when you should expect your period after your miscarriage. Resumption of menstruation after miscarriage is a good sign that you're physically recovering, and that your body will be back to normal soon. But when will your period arrive, and what will your period be like when it does show? Here's what to expect.

When to Expect Your Period

By far, this is probably the most common question women have about physical recovery after a miscarriage, and the answer varies by the person. The gestation at the time of the loss often affects the timing of when you will resume menstruation. Generally, depending on how far along you were in your pregnancy when you miscarried, you should get your first period after a miscarriage in one to three months. If you were further along, it might take longer for your period to come back than if you were in early pregnancy when the loss happened. 

It's important to note that it's possible to become pregnant during your first menstrual cycle following a miscarriage. And since ovulation happens before you get a period in any given cycle, you may be fertile before you realize it. 

Will My First Period After Miscarriage Be Abnormal?

For most, that first period after a miscarriage will probably not be noticeably different from their "normal" period, but some women might have heavier or lighter bleeding than usual in the first cycle after the miscarriage.

This is usually not a cause for worry. But if your period remains abnormal for multiple cycles, or if you are having severe pain or other concerns associated with your period, you should let your doctor know. Furthermore, if it's been longer than two or three months since your miscarriage and you haven't yet had a period, you should inform your doctor.

Trying Again After Miscarriage

After a miscarriage, you may find yourself thinking about trying again for a new pregnancy. A lot of physicians advise waiting anywhere from one to three months before attempting to conceive again. Why? Some doctors refer to an increased risk of miscarriage if couples conceive too soon. Others believe that couples need time to grieve the previous loss. And some recommend waiting for at least one menstrual cycle, simply to have a normal period to use in dating the next pregnancy.

Yet, short of individual health circumstances, there's no convincing evidence that it's medically necessary for most women to wait any set period of time to conceive after a miscarriage. If you have any questions or concerns, you should discuss them with your physician.

However, miscarriage is a major life stressor for those who experience it, and feelings of loss, anger, sadness, guilt and more can linger in the months or years following a miscarriage. You and your partner should take enough time to grieve properly after pregnancy loss and meet with a mental health professional if needed.

When you and your partner feel comfortable and ready for pregnancy, you should consider becoming pregnant again.

Successful pregnancy after miscarriage is very common.

If you have had two or more miscarriages in a row, it's a very good idea to make an appointment with your OB-GYN and a fertility specialist.

Sources

  • Journal of Midwifery and​ Women's Health. Volume 58, Issue 4, July/August 2013, Pages 479-480. 

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