Spontaneous abortion is diagnosed in approximately 15% of women of reproductive age. This condition is a strong emotional and physical stress for the body, especially if it occurs in the later stages. It is not surprising that representatives of the fairer sex are interested in when the cycle will be fully restored.
Therefore, it is worth considering when your period comes after a miscarriage. It is also worth paying attention to the nature of regular bleeding and its types. Stabilization does not always occur quickly and without complications. It is possible that the discharge will be pathological, so it is worth talking about it, to understand why menstruation is delayed after a miscarriage.
General information
Regardless of the stage of pregnancy, under the influence of certain factors, spontaneous miscarriage can occur. Often, women recover for a very long time after this and have some concerns about whether the next conception will be successful.
How does a miscarriage occur? Source: dytyna.pp.ua
To roughly determine how long it takes for menstruation to begin after a miscarriage, you need to understand what types it is:
- Threatening;
- Started;
- Failed;
- Accomplished;
- Incomplete.
If a woman is sure that she is in an interesting position, and the period is short enough, the appearance of slight bleeding may indicate that spontaneous termination of pregnancy is not excluded.
If menstruation begins after an early miscarriage, then it is almost impossible to save the fetus, and the duration of the recovery period directly depends on the individual characteristics of the body. If such a situation arises, you need to go to a gynecologist who, if necessary, will prescribe appropriate therapy.
When can you try to get pregnant again?
Delay the next conception for 3-6 months - 2-3 menstrual cycles. This time is necessary for the uterine mucosa and endometrium to recover. The psychological state of the expectant mother is also very important, give yourself time to get back to normal.
Sometimes you need to wait 6-12 months to conceive. Especially if the miscarriage did not happen for the first time or at a later date.
Find out with your gynecologist the reason that led to the terminated pregnancy. This way you will avoid a repeat of the situation. Do not have sexual relations for two weeks after the miscarriage - this will prevent the development of infection.
Risk factors for subsequent pregnancy:
Peculiarities
Regardless of how long after a miscarriage menstruation begins, the first discharge will be characterized by increased abundance. This condition is not pathological and is considered normal from a physiological point of view. If after two cycles there is no stabilization, and the discharge also occurs in a large volume. This is a direct reason to visit a doctor, since it is necessary to establish the cause of the development of this condition.
If you ask yourself, after a miscarriage, how long it takes for your period to come, then you must say that it also depends on whether the cleaning was carried out, or whether this procedure was avoided, since the fertilized egg completely left the uterus on its own. When patients undergo curettage, menstruation should be expected after about 28-40 days.
After gynecological cleansing, your period comes within 30 days. Source: narozhaem.ru
It is important to understand that discharge that began immediately after the procedure is not menstrual. They begin due to the fact that during the cleaning the uterine cavity was injured, and an extensive wound surface formed on it, since the integrity of the blood vessels with which the endometrium is oversaturated was damaged.
If you ask your doctor when your period begins after a miscarriage, he will not give you a definite date. On average, discharge comes without any physiological abnormalities in the next cycle. If the cleaning procedure was performed correctly, then an infectious or inflammatory process does not develop, and you can plan a pregnancy in six months.
Possible complications
After a spontaneous abortion, a woman needs to closely monitor her health; during this period, many chronic diseases worsen, and new ones arise. After a miscarriage, the following complications may occur:
- hormonal imbalance, malfunction of brain structures, ovaries,
- development of infectious and inflammatory diseases due to activation of pathogenic microflora,
- adhesive process, as a result of which the fallopian tubes become obstructed.
These reasons can lead to secondary infertility. You can avoid the occurrence of most complications if you control your condition, take prescribed medications, and consult a doctor if problems arise.
Varieties
In most cases, women mistake menstruation after a miscarriage without cleansing, which begins on the first day of the onset of this condition, for regular bleeding. Their duration is on average ten days, but no more. However, this opinion is considered only partly true.
This is due to the fact that the bleeding that occurs is the result of rejection of the fetus, and not the lining of the reproductive organ, as happens if there is no pregnancy. The body is in a state of stress because it faces a long recovery, because a partial change in hormonal levels has already occurred.
The most common question that girls ask doctors is: after a miscarriage, periods, how many days last. If spontaneous interruption occurs, experts advise paying attention to the following types of possible discharge:
- For 2-3 days there is minor bleeding of a spotting nature, which is not accompanied by painful sensations in the lower abdomen;
- If the discharge has acquired a brown tint, this indicates that the process will soon be completed;
- In case of heavy bleeding, when a woman loses more than 80-100 ml of biological fluid per day, the likelihood of dysfunctional disorders is considered;
- In situations where the discharge contains an admixture of pus or mucus, which may be yellow or green, it can be assumed that the body has become infected.
The first menstruation after a miscarriage for each representative of the fairer sex has its own characteristics and characteristics. However, there is a parameter that unites them. It lies in the fact that if there are no complications, inflammatory or infectious processes, then the normal duration of discharge is no more than seven days.
Types of discharge before menstruation
After a spontaneous miscarriage, bleeding occurs, which many women mistake for menstruation, especially when pregnancy could only be determined by hCG.
Bleeding can last up to 10 days, and it can often occur periodically until the menstrual cycle is completely restored. A woman should know the difference between such discharge and menstruation:
- Bleeding begins suddenly. The discharge is copious, scarlet in color and contains clots, the size of which can reach 2 cm. Bleeding can occur at any phase of the cycle. To stop it, hemostatic drugs are used.
- It happens that the bleeding has stopped, and instead there is a spotting discharge with a sharp, fetid odor. They are brown, black in color and may have yellow-green clumps. There may also be dense particles in the discharge. This condition requires competent treatment.
Normally, menstruation occurs 4-5 weeks after a spontaneous abortion. At the beginning and end of menstruation, spotting red-brown discharge is observed.
Delay
Also, sometimes girls wonder why there are no periods after a miscarriage. But here it is important to consider whether gynecological curettage was performed. If the procedure is completed, then the next bleeding in the cycle will begin in about 25-35 days, if there is no bleeding for more than 40 days, then you need to go to a gynecologist for a consultation.
A delay in menstruation after a miscarriage is direct evidence that the body is not fully restored, and, in particular, the reproductive system is not functioning correctly. However, there are few reasons for concern, and they are not always serious. All that needs to be done in this situation is to undergo an ultrasound of the pelvic organs.
Doctors' opinion
Gynecologist-obstetrician E. P. Berezovskaya
“After a miscarriage, before the onset of the first menstruation, a woman undergoes serial ultrasound scans every 5-10 days, observing the process of cleansing the uterus. It is mandatory to scrape it in case of dangerous discharge, severe bleeding, severe symptoms of inflammation and the risk of sepsis. Curettage causes a number of complications: infection, Asherman's syndrome, damage to the growth layer of the endometrium. Modern clinical observations confirm the inappropriateness of cleaning in the first 14 days after a spontaneous incomplete abortion, if there are no direct indications for curettage.”
Gynecologist-obstetrician N. P. Tovstolytkina
“Often in the first cycle after a miscarriage, scanty periods are accompanied by discharge with an unnatural odor. This is a sign of inflammation of the endometrium or other pathology of the uterus. You cannot wait for the end of menstruation - you need to immediately be examined by a qualified gynecologist. If not treated promptly, an abscess, pyometra or infertility may occur.”
Pathology
It is difficult to definitively answer the question of how long your period lasts after a miscarriage. In most cases, normalization of the cycle occurs in about 60 days. Already from the third month, the discharge acquires its normal character, volume and duration. Often menstruation lasts a long time after a miscarriage, when the uterine cavity was cleaned.
In this situation, the discharge will not just be prolonged, but with large blood clots. It is necessary to take a closer look at the nature of these bleedings. If the biological fluid is brown in color and has a distinct unpleasant odor, it means that a pathological process has developed in the form of sepsis and subsequent infection of the reproductive organs.
It is important not only to know how many days after a miscarriage your period comes, but also that if it is prolonged and heavy, this can lead to persistent anemia. This condition is also very dangerous for a woman’s body.
When there is no period after a miscarriage, a leading specialist can tell you why this happens. He will also draw attention to the fact that it is not normal to have scanty discharge. If after two cycles the volume of bleeding is not restored or there is a long delay, it is possible that adhesions have formed in the uterine cavity, which in the future will cause problems with fertilization.
Uterus after spontaneous miscarriage
Spontaneous abortion traumatizes the uterus, which can lead to massive bleeding that must be stopped. The inner walls of the uterus represent a wound surface. And the uterus itself is increased in size, even if the pregnancy was short.
Involution of the uterus, that is, its reverse development (reduction), occurs gradually. This process usually takes one month, during which healing and contraction of the organ occur simultaneously.
If cleaning has been carried out, adhesions may form in the uterine cavity, which will lead to a change in the nature of menstruation.
Adviсe
When your periods begin after a miscarriage, it is imperative to monitor their characteristic features. If the volume of discharge is large, then this may indicate that the girl has a concomitant inflammatory process that is progressing. Often this condition is dangerous not only to the health, but also to the life of the patient, so you should urgently go to the doctor.
An ultrasound is performed to assess the condition of the body. Source: elmasmejor.org
Spontaneous termination of pregnancy is a powerful stress for the body, in order not to aggravate this condition, you must adhere to the following rules:
- During the first two menstruation, it is better to use gynecological pads rather than tampons to absorb discharge, so as not to introduce bacterial microflora into the genital tract;
- Various types of sexual contacts should be completely excluded, and sexual activity can begin only after complete restoration of the uterine cavity and with the permission of a doctor;
- It is strictly unacceptable to perform the douching procedure if it has not been prescribed by a gynecologist; it is also not recommended to take hot baths, otherwise the bleeding will be prolonged and profuse.
If there is a delay after menstruation, then it is necessary to be examined by a gynecologist, as well as perform an ultrasound screening of the pelvic organs. Diagnostics must be dynamic, so the procedure should be performed once a week for a month. Thanks to this, it will be possible to exclude the factor of infection or inflammation.
What is considered a danger?
A woman should know which menstruation is not normal and can threaten her health. When, after a miscarriage, periods are heavy and prolonged, this should alert you. Discharge will be dangerous if a woman changes more than 4 pads during the day, including at night, and the duration of menstruation exceeds 7 days.
Scanty menstruation after a miscarriage should also be cause for concern. It may indicate menstrual irregularities and the development of other pathologies.
There may be scanty, spotting discharge if, as a result of spontaneous abortion, adhesions have formed in the uterus. In the future, this leads to problems with conception and pregnancy. Repeated breakdowns are possible. A woman must undergo an examination by a gynecologist, identify the cause of the abnormalities, and undergo treatment.
Spontaneous miscarriage causes great trauma to physical and psychological health. A woman must go through a recovery period and follow the doctor’s recommendations in order to maintain reproductive health and the ability to continue to bear and give birth to a healthy child.
