Regardless of whether it is in the woman’s plans to conceive a child again in the near future, first of all, one must make sure that her reproductive system functions as expected. 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 after a miscarriage do menstruation begin?
What is a miscarriage, and what is it
According to statistics, from 15 to 20% of all pregnancies for one reason or another end in a miscarriage, that is, a miscarriage. 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 as an ordinary delay of critical days, and then for heavy menstrual flow. A miscarriage is considered such only during spontaneous abortion up to 22 weeks. In the period from 22 to 37 weeks this is a premature birth. As for when, after a miscarriage, menstruation begins, 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 membranes with uterine hemorrhage and an increase in the lumen of the cervix.
- Full - the embryo or fetus completely leaves the uterus.
- Repeated - if spontaneous abortion in the early stages occurred at least three times.
- Anembryony is 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 do menstruation begin?
Many must know that any pregnancy affects the stability of the hormonal background and, in general, the condition of the woman’s body. Which in turn affects the process of restoring the menstrual cycle. On average, the first menstrual periods after an early miscarriage begin when 1 month after conception passes, and they last from 3 to 7 days. The cause of the recovery is also affected by the cause of the loss of the fetus, gestational age, general condition of the body, and whether the uterus was mechanically cleaned after what happened.
Dates of normalization of the menstrual cycle
Depending on the quality of the cleaning procedure, if at all, the first discharge will be profuse, painful and with clots. If we talk about how many days after a miscarriage, periods of a normal nature begin, then the periods for their recovery, as a rule, should not exceed three months. If bleeding occurred in the first days after a 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 up to a week long. There is no need to be afraid of this, because the cycle has not yet had time to normalize.
Why after a miscarriage do not start your period?
When critical days begin after a miscarriage, it largely depends on the gestational age and the cause of its termination. After an early miscarriage during pregnancy lasting up to 12 weeks, the body should return to its normal state faster, since it has not yet been subject to major changes. But if menstruation has not been resumed after 40-45 days, an examination is necessary. The reason for such a long delay can be a long recovery of the body, a strong hormonal failure, infection, ovarian dysfunction, etc. After all the necessary tests and examinations, a diagnosis will be made and a decision will be 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 interrupted at a later date, then it is possible that to eliminate the pathologies you will have to go to hospital.
Discharge after a miscarriage
Having figured out how much after a miscarriage, menstruation begins, it is necessary to raise the question of other secretions after a failed pregnancy. Earlier it was 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 uterine rejection of traces of an aborted pregnancy. When the embryo is detached from its walls, blood vessels and uterine tissue are injured, from which bleeding occurs. The duration of such secretions can be up to 10 days or periodically until the final restoration of the cycle. Their distinguishing features from menstruation:
- Start suddenly and at any phase of the cycle.
- Have a plentiful character and a scarlet color.
- Clots up to 2 cm in size are present.
At the beginning and end of the cycle, red-brown, smearing character is also acceptable. It is necessary to take into account the term of an interrupted pregnancy. The more he was, the stronger the uterus managed to enlarge and its walls stretched. Consequently, the injury with further loss of blood turned out to be more serious with it. If a woman during this period is chased by cramping and aching pains of a moderate nature, do not worry.
Pathological discharge
Every girl who cares about her health should know which secretions are the norm, and which indicate violations in the body. Caution should be taken when, after a miscarriage, the 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 left the uterus only partially and it is necessary to have an ultrasound with repeated curettage. If the reason is not in the remnants of the fetus, then probably. an infection occurred or an inflammatory process began, which could result in 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 time to regenerate, the organ remains vulnerable to various infections.
Pay attention, including the volume of discharge. Too meager periods 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 termination of pregnancy. But before drawing conclusions, it is necessary to conduct a professional examination.
Pregnancy after a miscarriage
Even when the menstruation after a spontaneous miscarriage has not yet begun , the conception can somehow happen during the first month. Since the day the pregnancy was interrupted, it is considered the first day of the cycle, and after a few weeks ovulation occurs. However, this pregnancy is most likely to not end safely. Due to the risk of repeated miscarriage and possible infection of the uterus, doctors advise using barrier contraceptives and avoiding conception from 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 still occurs, it will only increase the likelihood of infertility in the future. After three miscarriages, the chances of getting pregnant will be only 50%.
Doctor's advice for body restoration
The length of her rehabilitation, the ability to conceive a child again and give birth to a whole and healthy one, depend on how a woman will continue to monitor the recovery of her body. To do this, you will need to follow certain instructions and advice of doctors, among which there is the following:
- In the first few months, control the volume, structure and duration of secretions.
- Observe personal hygiene and change pads in a timely manner (it is advisable to refrain from tampons at first).
- Avoid weight lifting and overwork, both physical and emotional.
- At least during the first five days to monitor body temperature.
- Refrain from sexual activity for 1-2 months.
- Take all the medications prescribed by your doctor, especially general strengthening and anti-inflammatory drugs, and if necessary, painkillers.
- Monitor the diet, supplementing it with foods rich in iron, calcium and other useful trace elements.
Conclusion
To the question of when, after a miscarriage, menstruation should begin, one can answer unequivocally: after the body is restored. But it is worth pointing out that even if they start on time, this will not necessarily mean that the woman’s health is in danger. However, timely examinations by a doctor and their own observation will help to avoid any complications.
If the loss of a child left behind a strong emotional shock and eventually does not get better, neglect of the help of a professional psychotherapist is completely out of place. Among other things, stressful situations can seriously affect the state of the menstrual cycle, which should be known to female representatives.