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Factors That Affect Irregular Menstruation After Miscarriage

The first time a woman sees her menstrual period after a pregnancy loss can be different from her normal period and may delay too.

It’s also common for her to see some spotting for four or more weeks following a miscarriage. This means women need to know the difference between a menstrual period and intermittent bleeding.

Factors that influence a woman’s period after a miscarriage

  1. Hormone levels

At the start of her pregnancy, the placenta begins producing human chorionic gonadotropin (hCG), a hormone in the body that supports a fertilized egg. The use of hCG is to stimulate the secretion of progesterone hormone from the ovary.

The function of progesterone is to maintain a pregnancy and prevent menstruation from occurring. After miscarriage, hCG production drops because the placenta is no longer present, leading to a drop in progesterone levels. Menstruation only restarts once a woman’s hCG levels drop to zero.

  1. Length of gestation

If a woman goes through a miscarriage earlier during her pregnancy, she will probably start menstruating again sooner compared to a woman who miscarries later in pregnancy. After losing a pregnancy, the body usually requires a certain amount of time to heal, but it depends on how long the pregnancy took before the miscarriage.

What is menstruation like after miscarriage?

Menstruation after miscarriage is not the same for every woman. Different women experience menstruation differently. The first menstrual period after a miscarriage is usually heavier than normal menstruation.

It may also result in noticeable cramping and be a little more clotted than usual. For some women, the first period after a miscarriage is lighter than normal and particularly with no cramp.

Managing emotions during this time

The way women cope with miscarriages varies. Many feel confused after a miscarriage. Surprisingly, some want to resume trying again right away, while others don’t because they feel uneasy about another pregnancy.

It’s always good to ask a doctor about it. Just don’t blame yourself for the miscarriage because that may make the make the grieving process harder and longer. Your partner may experience emotional difficulties after your pregnancy loss too.

It’s better you honestly talk to your partner about how they’re feeling. That can be helpful for both of you and your emotional reading for a retry.

The bottom line

If you have had a miscarriage, take some time to recover physically.

‘Normal’ recovery from a miscarriage can differ greatly. Some women don’t spot at all afterwards, while others might spot for four or more weeks after.  Regardless, having checkups weekly or a two- or six-week checkup after experiencing a miscarriage is usually recommended.


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