Is it easy to get pregnant after a natural miscarriage?

Written by Du Rui Xia
Obstetrics
Updated on September 21, 2024
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When a natural miscarriage occurs, it is generally not easy to conceive. There are many reasons for natural miscarriage, one common cause is the insufficiency of corpus luteum function in women, leading to low levels of pregnancy hormones in the body, which can easily result in spontaneous miscarriage. Additionally, whether a woman has some gynecological diseases, such as uterine fibroids, endometritis, endometrial displacement, septate uterus, bicornuate uterus, unicornuate uterus, and other uterine issues, can also affect pregnancy and lead to natural miscarriage. Moreover, if the fertilized egg has chromosomal abnormalities during pregnancy, it can also cause a natural miscarriage. Therefore, when women prepare for the next pregnancy, they need to go to the hospital for relevant examinations. After identifying and actively correcting some factors affecting pregnancy, they can then try to conceive again.

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Written by Du Rui Xia
Obstetrics
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Does a natural miscarriage require a uterine cleaning (D&C)?

When a miscarriage occurs, whether a uterine cleaning is needed depends on whether there are any remnants in the uterine cavity as shown by a follow-up ultrasound examination, that is, to see if the miscarriage was complete. If the examination reveals significant remnants in the uterine cavity after the miscarriage, then a uterine cleaning treatment is required. Most women do not need a uterine cleaning after a natural miscarriage, as typically the bleeding will stop around 7-10 days post-miscarriage. Therefore, women should focus on resting, improving their nutrition, and enhancing their body's resistance to prevent any potential complications after a natural miscarriage.

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Written by Du Rui Xia
Obstetrics
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How long after a natural miscarriage can one have sexual intercourse?

After a natural miscarriage, it is generally advisable to abstain from sexual intercourse for at least one month. Following a natural miscarriage, there are wounds inside the uterine cavity that need to heal through a restoration process continuously repairing the endometrium. Engaging in sexual intercourse too soon can increase the risk of infection. One month after a miscarriage, with a doctor's guidance and upon confirming that the body has recovered well through examinations, sexual intercourse can be resumed. Within the first month, it is crucial to prohibit sexual activities, including sitz baths and swimming, to reduce the chances of infections. Post-surgery, there should also be appropriate advisement. Both partners must take this matter seriously to avoid impacting future health.

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Written by Zhang Lu
Obstetrics
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Spontaneous abortion embryonic pathological examination

After a natural miscarriage, pathological tests can be performed on the embryonic tissue. The main purposes of these tests include the following two aspects: First, to check if the chorionic villi in the embryonic tissue are edematous or if it is a hydatidiform mole. In cases of natural miscarriage, if it is a hydatidiform mole, it is necessary to determine whether it is a benign or malignant hydatidiform mole. If it is not a hydatidiform mole, it can be treated as a regular miscarriage. Secondly, testing the embryo can clarify the reasons for the miscarriage, such as checking the chromosomes of the embryo to determine if there are any issues with the chromosomes, which can be informative for the next pregnancy.

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Written by Liu Wei Jie
Obstetrics
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How long after a natural miscarriage can one become pregnant?

Miscarriage naturally refers to the process where the embryo is spontaneously lost from the mother's body, this is called a natural miscarriage. After a natural miscarriage, the medical suggestion is to wait for six months before getting pregnant again; however, the current view is that waiting at least three months is also acceptable. In our clinical cases, there are instances where pregnancy occurs one month after a natural miscarriage. If there are no symptoms of physical discomfort after the miscarriage, and the follow-up ultrasound examination is normal, in fact, there is no specific mandated period to wait before becoming pregnant again after a natural miscarriage. Nevertheless, waiting at least three months primarily allows the endometrium sufficient time to fully recover.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it take for a miscarriage to expel the gestational sac?

Under normal circumstances, in the case of a natural miscarriage, the gestational sac is usually expelled within one week, and the decidua tissue is also expelled within one week. If there is still bleeding more than one week after a natural miscarriage, it is imperative to visit a hospital for related examinations, typically requiring an ultrasound to observe the miscarriage situation. If the miscarriage is complete, then there are generally no major issues. However, if the miscarriage is incomplete, a dilation and curettage procedure may be necessary. It is possible for an incomplete miscarriage to occur naturally. Therefore, if there is still bleeding after one week, further examinations are necessary. In cases of natural miscarriage, it is usually advised to wait at least six months before trying to conceive again, and relevant examinations must be conducted before attempting again to determine the causes of the natural miscarriage and to treat accordingly.