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Are changes in the menstrual cycle every month after a miscarriage normal?

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Posted on Fri, 9 Oct 2020
Question: Hi I had a miscarriage at 13 weeks gestation last year, the baby didn't grown from 5 weeks. I miscarried naturally at home. Since the miscarriage my periods vary though the doctor still says they are regular. I worry I don't ovulate? Do you think as I have got pregnant before that I do ovulate?

My cycles are as follows:

October 29 day cycle

November 33 day cycle

December 28 day cycle

January 36 day cycle

February 24 day cycle

March 27 day cycle

April 27 day cycle

I am worried that I wont conceive again and I am 42 years of age and have a high BMI of 45.

I am working on eating healthy and exercise.

Do you think I can conceive again? I am worried I will have another miscarriage.

I had bloods taken to rule out polycystic ovaries in December, I had bloods taken on day 30 of a 33 day cycle. I have been reassured my bloods are ok but I would value your opinion. Unfortunately I don't have my LH and FSH levels all they said is they are in single figures. Serum estradiol was 265pmol/l, serum prolactin at 8.6pmol/l, sorry I have no further information.

Please help me as soon as you can. My doctor says stop worrying because I have conceived before I should conceive again naturally.

The menopause worries me

I have just had a day 21 progesterone test which was actually done on day 22 of cycle the value has come back as 4, I have no idea what this means. Does it mean I didn't ovulate I am worried sick that I will never conceive

I am going to have day 3 bloods on next cycle
doctor
Answered by Dr. Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Your cycle is within the normal range so we can call it regular.

Detailed Answer:

Hello,

I read it carefully and I understand your concern.

I agree with your doctor that if you have conceived yourself, you are able to conceive again.
You don't have a higher risk for miscarriage then any other woman has. That because it happens quite often to have a miscarriage during the first pregnancy and causes are not known and nothing a doctor can do about it. Other pregnancies most probably are stable if your hormonal levels are within normal limits.
Your cycles seem to be regularly- they are every month and around 21-35 days (the normal range). You just have to calculate the ovulation 14 days before the next cycle and here is where the difficulty is.
You can use a temperature chart, and monitor your body temperature to understand when/ if you are ovulating. In ovulation the temperature is 0.5 degrees higher.

Your lab tests seem fine to me.

I hope this is helpful.
Let me know if you have other questions or concerns.

Regards,
Dr. Papaqako
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Klarida Papaqako (7 minutes later)
what about the day 21 progesterone does it not suggest that I don't ovulate? sorry I am really worried
doctor
Answered by Dr. Dr. Klarida Papaqako (1 hour later)
Brief Answer:
Levels of progesterone need 4-5 days to rise after ovulation.

Detailed Answer:
Hello again,

Feel free to ask. I am here to help.

Your progesterone levels indicate that your ovulation has not happened yet, but that does not mean that it is not going to happen in the following days.

If the level was high, that would indicate possible ovarian cysts.
That test in itself is not indicative of ovulation, but it is taking in consideration when does not fluctuate at all. The fact that you have your period every month, means that the levels of progesterone do fluctuate.

I hope this makes sense and answers your question.

Feel free to ask again if you have any more questions.

Regards,
Dr. Papaqako


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Dr. Klarida Papaqako (9 minutes later)
what if I ovulated early would my levels be right?
doctor
Answered by Dr. Dr. Klarida Papaqako (8 minutes later)
Brief Answer:
Your levels indicate that you haven't indicated yet.

Detailed Answer:
Hello,

Women at the beginning of their menstrual cycle have a level of progesterone of 1 ng/mL or under. Before you ovulate, progesterone levels are usually below 10 ng/ml
About 7-10 days after ovulation, progesterone levels are usually above 8-10 ng/ml.

Your values are low, because as I said maybe your ovulation has not happened yet. Consider doing the test again around the day of 28th, if your period has not come yet.

Regards,
Dr. Papaqako.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Klarida Papaqako (22 minutes later)
Last question if my period does come have I ovulate this month or not? Thanks for your help and no more questions
doctor
Answered by Dr. Dr. Klarida Papaqako (18 hours later)
Brief Answer:
Regular period indicates presence of ovulation but not every month.

Detailed Answer:
Hello,

If your period is regular, that is a very good indication that you have ovulation, it just may not happen at the same time every month and also may not happen every time.

Just 1 measuring of progesterone does not indicate if ovulation has happened or not. But the fluctuation of its levels would give a better idea about that.

I would also suggest to not worry because it doesn't help.
Try focusing on taking care of your general health- losing weight in a healthy way, exercising and strengthening your body, eating and drinking healthy.
Also, keep in mind that your ovulation may happen withing a range of days between your cycle, so try during those days.

I am here to help if you have other questions.

Regards,
Dr. Papaqako
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1828 Questions

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Are changes in the menstrual cycle every month after a miscarriage normal?

Brief Answer: Your cycle is within the normal range so we can call it regular. Detailed Answer: Hello, I read it carefully and I understand your concern. I agree with your doctor that if you have conceived yourself, you are able to conceive again. You don't have a higher risk for miscarriage then any other woman has. That because it happens quite often to have a miscarriage during the first pregnancy and causes are not known and nothing a doctor can do about it. Other pregnancies most probably are stable if your hormonal levels are within normal limits. Your cycles seem to be regularly- they are every month and around 21-35 days (the normal range). You just have to calculate the ovulation 14 days before the next cycle and here is where the difficulty is. You can use a temperature chart, and monitor your body temperature to understand when/ if you are ovulating. In ovulation the temperature is 0.5 degrees higher. Your lab tests seem fine to me. I hope this is helpful. Let me know if you have other questions or concerns. Regards, Dr. Papaqako