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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Effective Ways To Get Pregnant After One Miscarriage?

Hello Dr. Sahu,
At my 8.5 week ultrasound I found out that my embryo had stopped developing just after my 6.5 week ultrasound.

My first question:
Do you know of any connection between early ultrasounds and miscarriages?

Next, 5 days ago, I was given two Misoprostol (Cytotec) pills to prepare me for a D+C procedure to remove the fetus, but the first pill sent me into full miscarriage the night before, with contractions, etc. The doctor told me not to take the second pill when I called her to tell her about the pain and bleeding. I postponed the surgery and two days later had more contractions and got rid of more fetal material. I went to have an ultrasound and the doctor said that the sac was completely gone but that my uterus lining was still thick at 12mm. I am happy that I have avoided surgery. I am going to doctor to check uterus lining in 2 weeks. I am not bleeding much at all now though so I wonder how the uterus will return to normal--with my next period? Also, how long should I wait before trying to get pregnant again...?

Thank you!
Christina in Athens, Greece
Mon, 6 Mar 2017
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General & Family Physician 's  Response
Hello Christina,
Thank you for your query.
I hope you won't mind me answering your query.

Your body has naturally expelled the fetal tissues. Bleeding can last for upto 2 weeks.
As long as you don't have abdominal pain, fever, foul smelling discharge, and prolonged /increased bleeding, you should be fine.

Ovulation usually occurs within 2-4 weeks after miscarriage and period will occur within 2 weeks after that. It may be a little heavier and longer than your usual period. It should regularize after that.

The body takes a while to get back to normal:
- to make up for lost blood
-for hormone levels to normalize
-uterus to regain its normal size.

I recommend :
-waiting for 3 months before trying to conceive again
-continue folic acid supplement.
-take an iron supplement everyday for 3 months (depending on your hemoglobin and iron levels in the blood)

More than 80% of women go on to have a normal pregnancy after a miscarriage. Hope you conceive soon. Take care
Hope I've answered your query.
Wish you good health.
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What Are The Effective Ways To Get Pregnant After One Miscarriage?

Hello Christina, Thank you for your query. I hope you won t mind me answering your query. Your body has naturally expelled the fetal tissues. Bleeding can last for upto 2 weeks. As long as you don t have abdominal pain, fever, foul smelling discharge, and prolonged /increased bleeding, you should be fine. Ovulation usually occurs within 2-4 weeks after miscarriage and period will occur within 2 weeks after that. It may be a little heavier and longer than your usual period. It should regularize after that. The body takes a while to get back to normal: - to make up for lost blood -for hormone levels to normalize -uterus to regain its normal size. I recommend : -waiting for 3 months before trying to conceive again -continue folic acid supplement. -take an iron supplement everyday for 3 months (depending on your hemoglobin and iron levels in the blood) More than 80% of women go on to have a normal pregnancy after a miscarriage. Hope you conceive soon. Take care Hope I ve answered your query. Wish you good health.