When to expect your period after a miscarriage. Menstruation after a miscarriage: when to expect it? Uterus after spontaneous miscarriage

Regardless of whether a woman plans to conceive a child again in the near future, she should first make sure that she reproductive system functions as expected. The course of the menstrual cycle has a bearing on this direct relation, but when a pregnancy is terminated, it often loses its former stability. And then, of course, the question arises: when do periods 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 stage, the girl may not even know about it and may mistake the signs of what happened for an ordinary delay in her critical days, and then for abundant menstrual flow. A miscarriage is considered as such only during spontaneous termination of pregnancy before 22 weeks. In the period from 22 to 37 weeks this is already premature birth. As for when your period starts after a miscarriage, it depends on the type of miscarriage. The following are distinguished:

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

How long after a miscarriage does my period begin?

Many people must know that any pregnancy affects the stability of hormonal levels and the overall condition of a woman’s body. Which in turn affects the process of restoring the menstrual cycle. On average, the first periods after an early miscarriage begin when 1 month passes after conception, and they last from 3 to 7 days. The duration of recovery is also influenced by the cause of fetal loss, gestational age, general state body and whether mechanical cleaning of the uterus was carried out after the incident.

Time frame for normalization of the menstrual cycle

Depending on the quality of the cleaning procedure, if it was carried out at all, the first discharge will be copious, painful and with the presence of clots. If we talk about how many days after a miscarriage normal periods begin, then the time frame for their recovery, as a rule, should not exceed three months. If bleeding occurs in the first days after a miscarriage even before cleaning, do not confuse the removal 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 may begin with delays of up to a week. There is no need to be afraid of this, because the cycle has not yet normalized.

Why don't my periods start?

When do they start after a miscarriage? critical days, largely depends on the duration of pregnancy and the reason for its termination. After early miscarriage during pregnancy lasting up to 12 weeks, the body must come to normal condition faster because it has not yet been subject to major changes. But if menstruation has not resumed after 40-45 days, it is necessary to undergo an examination. The fault is so long delay May be long recovery body, strong hormonal disbalance, infection, ovarian dysfunction, etc. After all necessary tests and examinations, a diagnosis will be made and a decision will be made on how to eliminate 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 later, then it is possible that to eliminate the pathologies you will have to go to the hospital.

Discharge after miscarriage

Having figured out how long after a miscarriage menstruation begins, it is necessary to raise the question of other discharge after a failed pregnancy. It was previously mentioned about spotting in the first time after the loss of a fetus, as well as the fact that some girls mistake it for menstruation. In fact, these are the consequences of the uterus rejecting traces of an interrupted pregnancy. When the embryo detaches from its walls, the blood vessels and tissues of the uterus are injured, which is where bleeding occurs. The duration of such discharge can be up to 10 days or occur periodically until the cycle is completely restored. Their distinctive features from menstruation:

• They begin suddenly and in any phase of the cycle.
• Have exuberant character and scarlet color.
• Clots up to 2 cm in size are present.

At the beginning and end of the cycle, red-brown discharge of a spotting nature is also acceptable. It is necessary to take into account the duration of the terminated pregnancy. The larger it was, the more the uterus managed to enlarge 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 plagued by spasms and aching pain moderate in nature, no need to worry.

Pathological discharge

Every girl who cares about her health should know which discharges are normal and which ones indicate disorders in the body. You should be wary when, after a miscarriage, menstruation begins ahead of schedule, and their appearance is accompanied by a sudden unpleasant smell, strong painful sensations and an increase in temperature. This may indicate that the fetus has only partially left the uterus and an ultrasound with repeated curettage is necessary. If the reason is not fetal remains, then it probably is. an infection occurred or an inflammatory process began, which could have been caused by unprotected sexual 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 time to regenerate, the organ remains vulnerable to various infections.

You also need to pay attention to the volume of discharge. Too much scanty menstruation may 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 termination of pregnancy. But before drawing conclusions, it is necessary to conduct a professional examination.

Pregnancy after miscarriage

Even when menstruation has not yet arrived after spontaneous menstruation, conception can somehow occur during the first month. Because the day the pregnancy was terminated is considered the first day of the cycle, and ovulation follows a few weeks later. However, this pregnancy with most likely will not end well. 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 restoration is necessary not only on an emotional level, but also in the body itself. If conception followed by spontaneous abortion does occur, this will only increase the likelihood of infertility in the future. After three miscarriages, the chance of getting pregnant is only 50%.

The duration of her rehabilitation, her ability to conceive a child again and give birth to him safe and healthy depends on how a woman monitors the restoration of her body in the future. To do this, you will need to follow certain instructions and advice from doctors, including the following:

1. In the first few months, monitor the volume, structure and duration of discharge.
2. Maintain personal hygiene and change pads promptly (it is advisable to abstain from tampons at first).
3. Avoid heavy lifting and overexertion, both physical and emotional.
4. Monitor your 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 restoratives and anti-inflammatory drugs, and, if necessary, painkillers.
7. Monitor your diet, supplementing it with foods rich in iron, calcium and other beneficial microelements.

Conclusion

The question of when menstruation should begin after a miscarriage can be answered unequivocally: after the body has recovered. But it is worth pointing out that even if they start in due date, this will not necessarily mean that the woman’s health 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 has left behind a strong emotional shock and does not get better over time, neglecting the help of a professional psychotherapist is completely inappropriate. Besides everything else, stressful situations can seriously affect the state of the menstrual cycle, which female representatives should be aware of.

Heavy periods after miscarriage happen often. In some cases, they may be a normal option for 1-2 menstrual cycles. But sometimes heavy periods after a miscarriage are a sign of complications and require treatment. Heavy periods are also dangerous because they can cause the development of iron deficiency anemia.

Heavy periods after miscarriage: reasons

As a rule, heavy periods after a miscarriage occur during the first menstrual cycle. Subsequently, menstruation normalizes, that is, it becomes the same as before the spontaneous abortion. This applies to both the volume and duration of menstruation. However, in some cases, heavy periods after a miscarriage are signs of illness. Therefore, if you have heavy periods after a miscarriage, you should consult a gynecologist to find out the cause.

In most cases, after a miscarriage - both with heavy menstruation and with normal menstruation - they still carry out therapeutic and diagnostic curettage of the uterine cavity (the so-called cleansing). This procedure often makes it possible to understand the cause of spontaneous abortion in most cases. But, in addition, curettage prevents the occurrence of heavy periods after a miscarriage. After all, most often the cause of heavy periods after a miscarriage is the presence of placental remnants and ovum in the uterine cavity. In addition to heavy periods, they cause inflammation. In fact, heavy periods in this case are a consequence of inflammation that occurs after a spontaneous abortion. To rule out inflammation of the uterine mucosa (endometritis), the gynecologist usually prescribes an ultrasound.

Heavy periods after miscarriage: consequences

Since heavy periods in themselves after a miscarriage are either a variant of the norm or a sign of an inflammatory process in the uterine cavity, the consequences are different in each case.

In case of a miscarriage complicated by inflammation of the uterine mucosa, heavy periods can develop into bleeding, which can be quite intense, even massive. Uterine bleeding after spontaneous abortion, in general, they are often encountered in obstetric and gynecological practice.

It is important to remember that heavy periods, regardless of their cause, cause iron loss. Since most women are iron deficient or at risk of iron deficiency, there is a risk of iron deficiency anemia due to blood loss. This is the most typical consequence after a miscarriage. As a result of blood loss, women may develop iron deficiency anemia. If iron stores are not replenished (and this can only be done by taking medicines), anemia will persist for years. This can cause weakness, drowsiness, pallor, increased fatigue, brittle nails, dry hair.

Heavy periods after a miscarriage: what to do?

If you have heavy periods after a miscarriage, in any case, regardless of whether the cause of this phenomenon has been identified or not, you must urgently consult a gynecologist. As a rule, the gynecologist prescribes curettage in this case (in some cases even repeated curettage is done), and also recommends hemostatic, anti-inflammatory and iron-containing drugs. The latter are prescribed due to the fact that blood loss in women quickly leads to iron deficiency and the development of iron deficiency anemia. After all, most women, even without taking into account abnormal menstruation low level iron in the blood and depleted iron stores or are on the verge of developing this condition. Iron deficiency occurs as a result of insufficient intake of iron from food over many years of life, as a result of monthly physiological blood loss and any bleeding. Therefore, all iron losses (the same heavy periods after a miscarriage or childbirth) quickly lead to the development of iron deficiency anemia.

Heavy periods: iron deficiency will be replenished by Totem

With heavy periods - both resulting from spontaneous abortion and developing for other reasons - women are advised only to replenish the loss of iron by taking iron-containing drugs. For this purpose, iron-containing drugs are prescribed, usually in the composition integrated scheme treatment. Also, in case of involuntary miscarriage, women are advised not to become pregnant for 6 months - this will allow the weakened body to recover after the miscarriage. So it is very important in such circumstances to replenish iron stores with the help of iron supplements.

The drug from Innotec International (France) contains 1 ml of 5 mg of iron gluconate, 133 μg of manganese gluconate and 70 μg of copper gluconate. This iron-containing drug is available in the form of drinking ampoules and is prescribed 1-3 ampoules per day for a period of 1-3 months for iron deficiency anemia, including after heavy periods after a miscarriage. The dose and duration of taking Totema is determined individually depending on the severity of iron deficiency and the results laboratory research blood. The drug Totema is well tolerated. It has undergone numerous studies and has proven itself in practice as a highly effective drug for correcting iron deficiency. A special feature of the drug Totema is also that the copper and manganese included in the drug Totema contribute to more quick elimination iron deficiency anemia.

Menstruation is a stage in every woman's life that usually lasts a few days during each month. Bleeding occurs from the woman’s genital tract and is caused by peeling and removal of a fragment of the mucous membrane of the endometrial cavity. This occurs as a result of the lack of fertilization of the egg.

It is also believed that the first menstruation indicates that the girl is turning into a real woman. The onset of menstruation in practice means that a woman also acquires the ability to conceive offspring.

During pregnancy, the menstrual cycle stops and resumes immediately after the birth of the baby. But for some women, pregnancy is terminated, and periods do not appear immediately after a miscarriage.

When does the cycle return after a miscarriage?

Women whose pregnancy has been terminated often ask: “How long after a miscarriage do menstruation begin?” Immediately after endometrial rejection occurs, the woman experiences profuse bleeding from the vagina. Cleaning or scraping is also accompanied bloody discharge. Menstruation begins exactly a month later or 25-36 days, and the time of miscarriage is considered the first day of the menstrual cycle.

However, a woman should be prepared for the fact that the first periods after a miscarriage may differ from what they were before. The intensity of the discharge depends on the quality of vaginal cleaning. Moreover, scraping must be carried out without fail. The length of your menstrual period also changes.

Pain during menstruation after miscarriage

Many women complain of pain that accompanies the first menstruation after a miscarriage. It should be remembered that the changes that occur in the body of a young woman include not only changes within the genital organs. A woman’s entire body goes through changes, in particular, it changes hormonal balance, which is responsible for well-being and mood during all days of menstruation.

Painful menstruation after a miscarriage medical point vision affects about 60% of women (especially during the first days of the cycle). In some cases, the pain is so severe that it can lead to loss of consciousness and fainting.

Unfortunately, it does not cover only the lower abdomen, but, in particular, is felt in the sacrum area. Some women complain of severe pain in the head and chest during the first days of their menstrual cycle. Moodiness, irritability, nausea, vomiting, and diarrhea are just some of the symptoms of menstrual pain after a miscarriage.

Causes of painful periods

The first period after a miscarriage is almost always accompanied by pain. But what explains the pain during menstruation a year after the loss of a child? Of course, if there were pains before pregnancy, they may remain after a miscarriage. After all main reason consists of intense contractions of the uterine muscles during the first days of menstruation. Most doctors support the theory that if painful periods occur, they most often disappear after the birth of the first child. If the doctor performed a high-quality curettage after a miscarriage, then the pain should also stop.

But there are other reasons why pain is observed several months after a miscarriage. Causes of painful menstruation may also be of various origins, For example, gynecological diseases, which appear due to hormonal imbalance as a result of miscarriage.

The most common causes of pain during menstruation include:

• cysts on the ovaries;
• myoma;
• polyps;
• endometriosis;
• inflammatory processes.

Therefore, it is necessary to be regularly examined by a doctor. This is especially true for women who have suffered a miscarriage or abortion.

Signs and symptoms preceding menstruation

Your period after a miscarriage without a cleanse can be intense. After all, there are particles of amniotic fluid left in the uterus. Often, during menstruation, women experience symptoms characteristic of infectious processes: pain, weakness, high temperature. Heavy discharge is considered to be when a woman has to change the pad more than once every 3 hours during initial days menstruation.

How many days your period lasts after a miscarriage also depends on whether curettage was performed. They usually last from 5 to 10 days.

Precursors of menstruation after a miscarriage are most often:

• pain of various origins during the cycle - in the chest, lower abdomen, spine, lower back;
• dysfunction of the surrounding area of ​​the head, strong pain, dizziness, lack of concentration;
• sleep disturbances during the first days of menstruation;
• upset stomach (constipation or diarrhea);
• vomit;
• difficulty concentrating, irritability;
• alternating attacks of cold and heat.

Signs of menstruation may appear a week before its actual onset. In most cases, the pain intensifies until the first days of menstruation.

How to make your periods easier?

Each woman who experiences pain during menstruation after a miscarriage can cope with this problem on her own. The most commonly practiced method of combating pain during menstruation after a miscarriage is the use of special painkillers.

The pharmaceutical market greatly facilitates access to numerous products that will relieve discomfort during this difficult period. Active substances in anti-inflammatory drugs have the task of suppressing the production of prostaglandins in the endometrium of the uterus. Often women use No-shpu, Analgin, Bral, Tempalgin, Ketanov. But any medicine must be prescribed by a doctor, and you cannot self-medicate.

Treatment of painful menstruation after miscarriage

There are a lot of ways to successfully deal with pain during menstruation after a miscarriage, so each woman who is faced with such a problem can solve it individually. If all attempts made have failed to eliminate the pain, you should consult a gynecologist.

Very often in the fight against painful menstruation help:

1. Herbal decoctions should be taken a few days before the expected menstruation. The most recommended include mint, lemon balm, chamomile, rosemary, and common rue.
2. Soft, warm baths. They relax the entire body, so they weaken unpleasant consequences during the first days of menstruation.
3. It is very important to stop bathing before bleeding after a miscarriage begins, as it can cause severe menstrual symptoms.
4. Minor required exercise stress and movement.
5. It is recommended to use a gentle relaxation massage, which always has a positive effect on the body, even during menstruation.
6. A very important role is played by correctly selected and balanced diet. In particular, foods rich in calcium should be used in the daily diet: milk, fish, nuts, legumes and a variety of dairy products.

Menstrual pain after a miscarriage should not be underestimated. In many cases, they represent a painful problem that a woman must struggle with every month, so it is worth doing everything to ensure that this difficult period brings as little discomfort as possible.

IN modern world Early miscarriage is a very common occurrence. And many women are wondering when their life will return to normal after this event.

Including how many days after a miscarriage your period comes, and when you can get pregnant again. All these questions are quite natural and understandable, because the comfort of a woman’s future depends on them. In addition, in some cases, the nature of menstruation may indicate certain disorders.

Time frame for the restoration of the menstrual cycle

Immediately after a miscarriage, many women may experience bleeding due to the fact that the endometrium is being rejected. Blood discharge is inevitable even after curettage, because any surgery associated with damage to blood vessels.

The day a miscarriage occurs is essentially the very first day of a new menstrual cycle. Accordingly, normally, after a miscarriage, menstruation occurs on days 26-35, depending on the length of the cycle.

However, the first 2-3 months of menstruation may not be what they usually were. The abundance of discharge depends on whether there was curettage and how well the uterine cavity was cleaned. In addition, a miscarriage is an abrupt change in the body’s hormonal levels, which can also affect the nature of the discharge. The discharge may be more or less abundant, and the duration of menstruation may also differ.

Heavy menstruation

In some cases, after a miscarriage, periods are too heavy. As a rule, this is due to particles of amniotic membrane remaining in the uterine cavity. In this case, menstruation may be accompanied by symptoms characteristic of inflammatory processes: high temperature, weakness, pain.

Regardless of whether you have a fever, if you really heavy discharge You need to see your doctor as soon as possible. Your period is considered heavy when you have to change your pad more often than once every 3 hours, including at night.

After visiting a doctor, the woman will definitely undergo an ultrasound to determine the cause of the heavy discharge. If it turns out that the fetal tissue remains in the uterus, it is necessary to do curettage again. After this procedure, a repeat ultrasound examination is mandatory.

Unfortunately, in some institutions repeat ultrasound is neglected. Which often becomes the cause of such complications. So if you are prescribed curettage after a miscarriage, insist on an ultrasound after the procedure.

Heavy periods are not only unpleasant and inconvenient, but also dangerous. Bleeding can lead to anemia. That's why this state involves treatment. If necessary, as already mentioned, repeated curettage and anti-inflammatory drugs are used. In addition, hemostatic agents and iron supplements are necessarily prescribed.

Pregnancy after miscarriage

It is worth noting that purely physiologically after a miscarriage, you can get pregnant in the first month. However, first, before you try to conceive again, you need to find out what caused the miscarriage in order to prevent this from happening in the future. Secondly, the body needs time to recover from severe stress, which, in fact, is a miscarriage.

Therefore, doctors advise postponing new pregnancy for about six months. During this time, contraception is required. As a rule, the choice is made on hormonal pills. They are the most reliable and convenient.

If you don’t have your period after a miscarriage, you need to urgently take a pregnancy test and, with the results, go to the doctor for an examination. Pregnancy is just one of the possible reasons lack of menstruation. In addition, the absence of menstruation may be due to functional disorders ovarian function. In this case, you may experience a long delay in menstruation. It also happens that ovulation does not occur for several months after curettage. Only a specialist can find the exact cause.

A miscarriage is a great tragedy for both the woman and her family. However, this is not yet a reason to launch yourself. The more attentive you are to your condition, the more chances you have that next pregnancy will end well. In particular, it is necessary to monitor your menstrual cycle and, in case of irregularities, immediately contact a specialist to resolve problems in a timely manner.

Having your period after a miscarriage means you have another chance to try to conceive..

After an early miscarriage, menstruation begins almost immediately. That is, bleeding occurs, and it is often confused with the beginning next menstruation. But in essence, this is not menstruation, but the rejection of endometrial tissue.

Your first period after a miscarriage may be different for each of you. But it is worth saying that disruptions in the cycle after this phenomenon are rather a pattern. And you can derive some average statistical figure.

Your first period will probably start in 21-35 days.

Delayed menstruation after miscarriage

It also happens that the first menstruation after a miscarriage is in no hurry to begin. This is due to the strong jump in hormonal background. After all, it is worth remembering that when pregnancy occurs, a woman’s body begins to produce progesterone. And when pregnancy suddenly ends, estrogen production, on the contrary, jumps.

The delay will continue until the ratio of these hormones reaches the desired level.

Often it is enough to wait until the body copes on its own. But not always, and sometimes it makes sense to go to a gynecologist. How many days should we wait to finally calm down and continue planning?

When does your period come?

The site often receives questions about the period after which menstruation should arrive. When should you sound the alarm?

If the delay is more than 35-40 days, then make an appointment with a doctor. After analyzing your blood for hormones, the specialist will know exactly what treatment regimen to create for you.

Now I would like to give answers to the questions that most concern many women.

What are they?

It must be said right away that for the most part they are not the same as you are usually used to. In terms of blood volume, it is more abundant. Moreover, there is a direct relationship with cleansing after spontaneous abortion.

If a miscarriage occurs, and you were not sent for cleaning, then menstruation will not be as heavy. And the duration is much shorter.

But after curettage, we can already say that your periods will be heavy. After all, there are parts of the fetal membrane in the uterus, and together with your blood they are rejected.

Heavy bleeding

The first 2-3 times you will have heavy periods after a miscarriage. At the same time, you may feel weak and tired. But there is also reverse situation. When at first the discharge is scanty, and this also continues for 2-3 cycles.

You will need urgent consultation with a doctor if:

• pains began during menstruation,
• there is significantly more discharge than you usually had,
• the temperature rose strongly for no other reason.

Such manifestations may indicate that the ovaries are not functioning properly, a hormonal imbalance has occurred, or an inflammatory process is occurring in the uterus.

Therefore, in the case of heavy menstruation, pain and weakness, it is worth undergoing an examination:

• undergo a series of all necessary tests that the doctor asks for,
• undergo an ultrasound,
• take medications - hemostatic, anti-inflammatory - only as directed by a doctor.

An ultrasound after a miscarriage with curettage will show whether there are any parts of the fetus left in the uterus. If there are any left, then this indicates poor quality cleaning. Health care in this case it is required. Otherwise, there is a risk of getting an infection.

How long does your period last after a miscarriage?

Here we need to clarify the formulation of the question a little. If we mean how long the bleeding lasts immediately after a miscarriage occurs, then the average figure here is 7 days.

Of course, everything is individual. And the duration of bleeding is also determined by the nature of medical care.

If you are interested in what duration menstrual cycles should be after a spontaneous abortion, then they are usually shorter. If it takes longer, then you should not hesitate to visit a good, truly competent doctor.

Important Warning

Already in the very first month after such a misfortune happened to you, pregnancy may occur again. Therefore, you should not engage in unprotected sexual intercourse during this period.

If they occur, and there is already a delay beyond the previously indicated period, then immediately consult a doctor.

It’s clear that grief, I so want to be distracted and just to be caressed by my loved one, but it’s not worth it! After all, it is important to identify the cause of fetal loss. In order to undergo treatment in the future, to get rid of negative factors and avoid such a traumatic event.

So it is recommended to use contraception after a spontaneous abortion for exactly 3 cycles. And, of course, it is important to clearly monitor especially the first menstruation after a miscarriage.