When menstruation begins after a miscarriage: the norm and deviations

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Whether or not a woman plans to conceive again in the near future, the first thing to do is to make sure that her reproductive system is functioning properly. The course of the menstrual cycle is directly related to this, but when an abortion occurs, it often loses its former stability. And then, of course, the question arises: when does menstruation begin after a miscarriage?

What is a miscarriage and how does it happen

According to statistics, from 15 to 20% of all pregnancies for one reason or another end in miscarriage, that is, spontaneous abortion. However, according to experts, this figure is much higher. If the miscarriage took place at an early date, the girl may not even be aware of this and take the signs of what happened for an ordinary delay in critical days, and then for abundantmenstrual flow. A miscarriage is considered as such only during spontaneous termination of pregnancy up to 22 weeks. In the period from 22 to 37 weeks, this is already premature birth. As for when menstruation begins after a miscarriage, it depends on its type. The following are distinguished:

• Failed - the embryo or fetus dies, but does not leave the uterine cavity.
• Incomplete or inevitable - when acute pain occurs in the lumbar region and lower abdomen, accompanied by rupture of the fetal membrane with uterine hemorrhages and an increase in the lumen of the cervix.
• Complete - the embryo or fetus leaves the uterus completely.
• Repeated - if spontaneous termination of pregnancy in the early stages occurred at least three times.
• Anembryony - fertilization without the formation of the fetus itself, sometimes accompanied by some symptoms of pregnancy.
• Chorionadenoma - instead of an embryo, a small piece of tissue grows, gradually increasing in size.

How long after a miscarriage does my period start?

Many people must be aware that any pregnancy affects the stability of the hormonal background and, in general, the state of the woman's body. Which in turn affects the process of restoring the menstrual cycle. On average, the first menstruation after an early miscarriage begins when 1 month passes after conception, and they last from 3 to 7 days. The duration of recovery is also affected by the cause of fetal loss, the durationpregnancy, the general condition of the body and whether mechanical cleaning of the uterus was carried out after the incident.

Terms for the normalization of the menstrual cycle

Depending on the quality of the cleaning procedure, if any, the first discharge will be profuse, painful and with clots. If we talk about how many days after a miscarriage menstruation of a normal nature begins, then the terms for their recovery, as a rule, should not exceed three months. If the bleeding occurred in the first days after the miscarriage before cleaning, do not confuse the disposal of the uterus from its contents after pregnancy with menstruation. The latter takes time. And it should be mentioned that in the first few months, when menstruation begins after a miscarriage, they can begin with delays of up to a week. There is no need to be afraid of this, because the cycle has not had time to normalize yet.

Why doesn't my period start after a miscarriage?

When critical days begin after a miscarriage, it largely depends on the duration of pregnancy and the reason for its termination. After an early miscarriage during a pregnancy lasting up to 12 weeks, the body should return to normal faster, since it has not yet been subject to major changes. But if menstruation has not been resumed after 40-45 days, it is necessary to undergo an examination. The reason for such a long delay may be a long recovery of the body, severe hormonal failure, infection, ovarian dysfunction, etc. After all the necessary tests and examinations, there will bea diagnosis was made and a decision was made on how to fix the problem. Starting from taking anti-inflammatory or hemostatic drugs, ending with repeated curettage. The latter is possible if the fetus has not completely left the uterus, and this is already fraught with the development of sepsis or intrauterine adhesions. If the pregnancy was terminated at a later date, then it is possible that you will have to go to the hospital to eliminate the pathologies.

Discharge after miscarriage

Having figured out how long after a miscarriage menstruation begins, it is necessary to raise the issue of other discharges after a failed pregnancy. Earlier, it was already mentioned about spotting in the first time after the loss of the fetus, as well as the fact that some girls take them for critical days. In fact, these are the consequences of rejection by the uterus of traces of an interrupted pregnancy. When the embryo is detached from its walls, the blood vessels and tissues of the uterus are injured, from which bleeding occurs. The duration of such secretions can be up to 10 days or pursue periodically until the final restoration of the cycle. Their distinguishing features from menstruation:

• Begin suddenly and at any phase of the cycle.
• Have an exuberant nature and scarlet color.
• There are clots up to 2 cm in size.

At the beginning and end of the cycle, highlights of a red-brown color, a smearing character, are also acceptable. It is necessary to take into account the term of the interrupted pregnancy. The more he was, the more the uterus managed to increase and its walls stretched. Consequently, the injury with further loss of blood turned out to be more serious with him. If a woman during this period is haunted by spasms and aching pains of a moderate nature, you should not worry.

Pathological discharge

To know which secretions are the norm and which indicate violations in the body, every girl who cares about her he alth should know. You should be wary when, after a miscarriage, menstruation begins earlier than the due date, and their appearance is accompanied by a sharp unpleasant odor, severe pain and fever. This may indicate that the fetus has left the uterus only partially and ultrasound with repeated curettage is necessary. If the reason is not in the remains of the fetus, then probably. an infection has occurred or an inflammatory process has begun, which could have been caused by unprotected intercourse in the first time after a miscarriage. The fact is that it takes time to restore the walls of the uterus, and until the epithelium has had time to regenerate, the organ remains vulnerable to various infections.

You need to pay attention, including the volume of allocations. Too meager menstruation can mean not only a violation of the cycle, but also the formation of adhesions in the uterine cavity. Their presence, in turn, can lead to further infertility or repeated abortion. But before drawing conclusions, it is necessary to conduct a professional examination.

Pregnancy after miscarriage

Even when periods after miscarriage start againdid not have time, conception one way or another can occur within the first month. Since the day when the pregnancy was interrupted is considered the first day of the cycle, and after a few weeks, the onset of ovulation follows. However, this pregnancy is most likely not to end successfully. Due to the risk of recurrent miscarriage and possible infection of the uterus, doctors advise using barrier contraceptives and avoiding conception for 6 months to 1 year. This is due to the fact that recovery is necessary not only on an emotional level, but also in the body itself. If conception with subsequent spontaneous abortion does occur, this will only increase the likelihood of infertility in the future. After three miscarriages, the chances of getting pregnant will be only 50%.

Doctors' advice for body recovery

The duration of her rehabilitation, the ability to conceive a child again and give birth to him whole and he althy depend on how a woman will follow the restoration of her body in the future. To do this, you will need to follow certain instructions and advice from doctors, among which are the following:

1. In the first few months, control the volume, structure and duration of the discharge.
2. Observe personal hygiene and change pads in a timely manner (it is advisable to refrain from tampons at first).
3. Avoid heavy lifting and overwork, both physical and emotional.
4. Monitor body temperature for at least the first five days.
5. Abstain from sexual activity for 1-2 months.
6. Take all medications prescribed by your doctor, especially general tonic and anti-inflammatory, and, if necessary, painkillers.
7. Follow your diet by supplementing it with foods rich in iron, calcium and other beneficial trace elements.

Conclusion

The question of when menstruation should begin after a miscarriage can be answered unequivocally: after the recovery of the body. But it is worth pointing out that even if they start on time, this will not necessarily mean that the woman's he alth is no longer in danger. However, timely examinations by a doctor and your own observation will help to avoid any complications.

If the loss of a child left behind a strong emotional shock and does not get better over time, neglecting the help of a professional psychotherapist is not at all appropriate. Among other things, stressful situations can seriously affect the state of the menstrual cycle, which women should be aware of.