How much time should pass after a miscarriage to try to concieve again?

By (gynecologist), (gynecologist), (embryologist) and (psychologist).
Last Update: 03/09/2022

A miscarriage is a loss that generates very negative feelings in the woman. The psychological consequences on the couple are very varied and depend on the character of each person. Therefore, specialists recommend not seeking a new pregnancy until the loss has been psychologically, physically, and physiologically overcome.

The World Health Organization (WHO) states that it is necessary to wait at at least 6 months to try to conceive again. However, other professionals have different thoughts on this and believe that there would be greater benefits if it were tried earlier.

What happens to the menstrual cycle after abortion?

The loss of pregnancy causes bleeding that may last longer or shorter depending on the number of weeks of pregnancy.

If the abortion was incomplete, the gynecologist must perform a curettage to remove all the remains of the uterus. After this procedure, it is normal that the woman also stains for a few days.

In both cases, it is recommended not to have sexual intercourse during bleeding and not to attempt a new pregnancy until the body has completely recovered from the changes suffered.

After the abortion, recovery of ovarian function and menstrual cycle usually takes one to two months. During this time, hormonal alterations take place that affects women differently.

It is completely normal for there to be a delay in menstruation and for the first menstrual period to be late after suffering a gestational loss. This menstruation will indicate that our ovary has recovered its functionality and ovulation has occurred.

On the other hand, it is difficult to determine when the ovulatory period takes place in these first months, and, therefore, there is a risk of pregnancy if preventive measures are not taken.

Waiting time after abortion

The WHO recommends waiting about 6 months to attempt pregnancy again, as it considers that this is sufficient time for emotional recovery after a miscarriage.

However, there are studies that confirm that attempting a new pregnancy before 6 months brings benefits such as those listed below:

  • Lower probability of suffering another miscarriage.
  • Less chance of having an ectopic pregnancy.
  • Lower risk of premature delivery or cesarean delivery.
  • Lower risk of delivering a low birth weight baby.

On the other hand, the waiting time will also depend on the cause of the miscarriage and the time of gestation at which it occurred. The termination of pregnancy in very advanced stages requires a more lasting physical and emotional recovery since there are usually states of anxiety, fear, nostalgia, and guilt.

In general, specialists recommend a minimum waiting period of three months or the presence of two menstrual periods for the woman's body and state of mind to have normalized.

Regarding biochemical abortion, Dr. Gorka Barrenetxea states that:

A biochemical pregnancy need not delay a subsequent attempt at assisted reproduction. The woman may, if indicated, undergo another assisted reproductive treatment immediately.

Does an abortion affect fertility?

When a miscarriage occurs, it does not mean that there is a fertility problem or that our body has abnormalities.

In fact, the probability of pregnancy in women who have had an abortion is usually the same as in women who have never had an abortion.

A special case would be repeat miscarriage (3 or more gestational losses) or consecutive miscarriages. This is considered a fertility problem and should be studied by a specialist to try to clarify the possible causes in both men and women.

Assisted procreation, as any other medical treatment, requires that you rely on the professionalism of the doctors and staff of the clinic you choose. Obviously, each clinic is different. Get now your Fertility Report, which will select several clinics for you out of the pool of clinics that meet our strict quality criteria. Moreover, it will offer you a comparison between the fees and conditions each clinic offers in order for you to make a well informed choice.

If you want to continue reading more information about it, we recommend you to visit the following article: Fertility after abortion: Is pregnancy possible?

FAQs from users

If I have had a miscarriage, can it happen again the next time I have a pregnancy?

By Elena Izquierdo Trechera M.D., M.Sc. (gynecologist).

Approximately one in five pregnancies are terminated in the first trimester and are followed by subsequent normal pregnancies.

In the case of two or more miscarriages, it is advisable to perform a complete study of both members of the couple to diagnose possible causes and prescribe appropriate treatments.

Is a pregnancy test reliable after having an abortion?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

If a pregnancy is attempted just after the abortion, the pregnancy test is not reliable during this time, as traces of beta-hCG hormone from the previous pregnancy may remain. Therefore, the pregnancy test could result in a false positive.

If the abortion is induced, do I also have to wait 3 months to become pregnant?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

After an abortion with pills such as misoprostol and mifepristone, it is advisable not to have sexual intercourse while the bleeding lasts, since infection could occur. After that, it is also necessary to wait for regular menstrual cycles to return. This time is usually between 2 and 3 months.

Could I get pregnant after an abortion and before I have my first period?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

Yes, it is possible to get pregnant during the first menstrual cycle after an abortion. The ovulatory period will be difficult to calculate and an ovulation test should be used for this purpose. However, it is not advisable to seek pregnancy so soon because the body has not yet recovered and it is possible that the woman's mood may not have recovered either.

How long do I have to wait to have sex after an abortion?

By Marta Barranquero Gómez B.Sc., M.Sc. (embryologist).

The general recommendation is to avoid sexual intercourse for a period of two weeks after a miscarriage. In this way, it is easier to prevent possible infections. In addition, a woman may experience light bleeding after a miscarriage occurs.

There are different types of miscarriages depending on the cause of the miscarriage or its characteristics. If you want to continue reading about this topic, you can access the following post: Types of miscarriage.

Preimplantation genetic diagnosis (PGD) is a possible solution if the cause of the miscarriage is determined to be genetic. To learn more about this method of assisted reproduction, you can continue reading at the following link: What is PGD?

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References

A Kulczycki, M Potts, A Rosenfield. Abortion and fertility regulation. Lancet. 1996 Jun 15;347(9016):1663-8. doi: 10.1016/s0140-6736(96)91491-9.

Elisabeth L Ahman, Iqbal H Shah. Contraceptive use, fertility, and unsafe abortion in developing countries. Eur J Contracept Reprod Health Care. 2006 Jun;11(2):126-31. doi: 10.1080/13625180500279813.

Hendricks, M. S., Chow, Y. H., Bhagavath, B. and Singh, K. (1999), Previous Cesarean Section and Abortion as Risk Factors for Developing Placenta Previa. Journal of Obstetrics and Gynaecology Research, 25: 137-142. doi:10.1111/j.1447 0756.1999.tb01136.x

McCarthy, F. P., Khashan, A. S., North, R. A., Rahma, M. B., Walker, J. J., Baker, P. N., … Kenny, L. C. (2013). Pregnancy loss managed by cervical dilatation and curettage increases the risk of spontaneous preterm birth. Human Reproduction (Oxford, England), 28(12), 3197–3206.

T Frejka. Induced abortion and fertility. Fam Plann Perspect. Sep-Oct 1985;17(5):230-4.

Yao Wang, Yun Sun, Wen Di, Yan-Ping Kuang, Bing Xu. Association between induced abortion history and later in vitro fertilization outcomes. Int J Gynaecol Obstet. 2018 Jun;141(3):321-326. doi: 10.1002/ijgo.12481. Epub 2018 Mar 27.

FAQs from users: 'If I have had a miscarriage, can it happen again the next time I have a pregnancy?', 'Is it true that you are more fertile after a miscarriage?', 'Is a pregnancy test reliable after having an abortion?', 'Is it easier to get pregnant after a miscarriage?', 'If the abortion is induced, do I also have to wait 3 months to become pregnant?', 'Could I get pregnant after an abortion and before I have my first period?', 'How can you get pregnant after miscarriage before first period?', 'Can you get pregnant after abortion pill?', 'How long do I have to wait to have sex after an abortion?', 'Can you get pregnant after abortion while bleeding?' and 'Can you get pregnant during your period after a miscarriage?'.

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Authors and contributors

 Elena Izquierdo Trechera
Elena Izquierdo Trechera
M.D., M.Sc.
Gynecologist
Bachelor's Degree in Medicine by the Complutense University of Madrid. Specialist in Obstetrics & Gynecology. Master's Degree in Human Reproduction by the King Juan Carlos University and the IVI. Currently, she is the Medical Director of Clínica de Fertilidad Velázquez (Madrid, Spain). More information about Elena Izquierdo Trechera
License: 282866949
 Gorka Barrenetxea Ziarrusta
Gorka Barrenetxea Ziarrusta
M.D., Ph.D.
Gynecologist
Bachelor's Degree in Medicine & Surgery from the University of Navarra, with specialty in Obstetrics and Gynecology from the University of the Basque Country. He has over 30 years of experience in the field and works as a Titular Professor at the University of the Basque Country and the Master's Degree in Human Reproduction of the Complutense University of Madrid. Vice-president of the SEF. More information about Gorka Barrenetxea Ziarrusta
License: 484806591
 Zaira Salvador
Zaira Salvador
B.Sc., M.Sc.
Embryologist
Bachelor's Degree in Biotechnology from the Technical University of Valencia (UPV). Biotechnology Degree from the National University of Ireland en Galway (NUIG) and embryologist specializing in Assisted Reproduction, with a Master's Degree in Biotechnology of Human Reproduction from the University of Valencia (UV) and the Valencian Infertility Institute (IVI) More information about Zaira Salvador
License: 3185-CV
Adapted into english by:
 Cristina  Algarra Goosman
Cristina Algarra Goosman
B.Sc., M.Sc.
Psychologist
Graduated in Psychology by the University of Valencia (UV) and specialized in Clinical Psychology by the European University Center and specific training in Infertility: Legal, Medical and Psychosocial Aspects by University of Valencia (UV) and ADEIT.
More information about Cristina Algarra Goosman
Member number: CV16874

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