So what's the reason for waiting a month to try after natural m/c?

7/04Bride · December 2010

I had to wait a cycle to start trying after my D&C, which I fully understood. I know it can be hard to date a pregnancy since you don't know whether or not to consider the D&C the first day of your cycle. I also wanted to give my body a month to return to normal. For me, my body got back to work like clockwork and I ovulated right on my normal schedule based on the D&C as the first day of my cycle. I've miscarried naturally with this miscarriage (if you start the miscarriage on the day spotting started, I was only 5 weeks 1 day and would've been 5 weeks 6 days at this point and am almost done bleeding). My doctor said that it was a chemical pregnancy and many years ago (and even now for those who don't monitor their cycles that closely), women wouldn't even have realized they were pregnant in my situation. It was a lot like a heavy, especially crampy period. So, I'm wondering if there's more to needing to wait a month than that the doctors don't want to have a hard time dating the pregnancy. I know it can cause unnecessary stress if they aren't sure if the baby is measuring on schedule, etc., but I chart my cycles and always know when I ovulate. I'm thinking of calling my doctor back to see if there is any medical reason to wait a month. I'm usually a very good patient, but I just can't see a real reason to follow doctor's orders on this one. What do you think?

Shawnly82 · December 2010

Sorry I have no answers, but Im glad you asked this question because I have been wondering the same thing. My Dr's RN told me to wait for a one cycle to start trying again, but from all I see online there is no medical evidence against being able to try right away and from what I've seen is many women have gone on to have healthy babies right after a M/C as long as your emotionally ready then I don't understand. They say your body will get pregnant if and when it's ready. All I can think is if I don't wait I may be more stressed if I got pregnant right away, but to be totally honest I'm going to be worried because of what happened with this last one anyway. I hope some ladies have some good advice...I haven't seen my Dr. yet and don't until January 3rd.

bec2325 · December 2010

I have been wondering the EXACT same thing. I read some things that say you can try right away if you had your m/c early and others that say there could be a risk. I recently had a m/c dec 4th at 5 weeks and it was my first pregnancy so I was devastated. Now that I know how happy my husband and I were being pregnant I want that back and dont feel like waiting. Most things I have read state that there is no evidence that proves that becoming pregnant right after a m/c increases any risk of miscarrying again, but I cant imagine going through this back to back. If it makes you feel any better though, there have been numerous postings from women who conceived before they even got their first period after a m/c and had healthy pregnancies. Im just so mad this happenned my first pregnancy because next time I get pregnant its not going to be as exciting because I am going to fear loosing the baby again. I have a check up with my gyno tomorrow so Ill let you know if I get any good advice.

Best of Luck!

7/04Bride · December 2010

bec2325:

I have been wondering the EXACT same thing. I read some things that say you can try right away if you had your m/c early and others that say there could be a risk. I recently had a m/c dec 4th at 5 weeks and it was my first pregnancy so I was devastated. Now that I know how happy my husband and I were being pregnant I want that back and dont feel like waiting. Most things I have read state that there is no evidence that proves that becoming pregnant right after a m/c increases any risk of miscarrying again, but I cant imagine going through this back to back. If it makes you feel any better though, there have been numerous postings from women who conceived before they even got their first period after a m/c and had healthy pregnancies. Im just so mad this happenned my first pregnancy because next time I get pregnant its not going to be as exciting because I am going to fear loosing the baby again. I have a check up with my gyno tomorrow so Ill let you know if I get any good advice.

Best of Luck!

Yes, definitely let me know what you find out! I'm going to see what I can find out on my own on the internet and stuff, then call my doctor sometime this week. If it's only about dating the pregnancy, I don't see any reason to wait. I KNOW when I ovulate. That is even better than knowing your LMP in some cases.

Shawnly82 · December 2010

I asked the pregnancy after loss board...hope I get some answers!

Junebug060609 · December 2010

My doc said it was mainly for dating purposes for a subsequent pregnancy, but also to give the body a chance to sort itself out (if you will). Cycles can be pretty wonky post m/c. You'd catch that charting, but still.

I can add a second reason now that I'm in the midst of my first AF post m/c. There is a whole emotional side that came with coming up on the end of the 2ww that I really didn't expect (we weren't perfect and there was a slim chance for a pg). Every twinge, every phantom symptom...they all freaked me out, in both good & bad ways (would be thrilled to be pg, but scared to death of losing another pregnancy). I, too, have been feeling ready to get back at it from the moment the bleeding stopped. I really didn't expect to be overwhelmed like that. I'm actually thankful that I had a month with little chance of a BFP to acclimate to the worries that come with getting pregnant after a loss. Sorry for the rambling...my point is that the docs aren't just concerned about your physical well being.

MrsAtch · December 2010

My doc said it was to try to get a handle on my hormones- that even though I had ovulated my body may not be back to my pre-pregnancy levels of some of my hormones and it could put undue stress on a new pregnancy. I'm practically dying waiting to put my first cycle behind me. I wish it wasn't a time issue.

mdhealy676 · December 2010

My doc said it was to give the uterine lining a chance to "get back to normal" since it may be either too think or too thin right after m/c. She also said the same things PP's mentioned about dating purposes and hormone levels.

Arlee0711 · December 2010

I had a d&c so will wait the 1 cycle like you did. I spoke with one of my friends yesterday that had an early m/c last year. We had never really talked about it much before but she m/c naturally. She had been charting her cycles for awhile so was confident in ttc again before AF came. She did get pregnant before her period came and now has a healthy baby. Her doctor didn't recommend that she do this but also didn't tell her she shouldn't and couldn't give her any specific reasons as to why she should wait a cycle. If you are emotionally ready and track your cycles closely, I wouldn't see why you shouldn't go ahead. But, of course I'm no doctor!

dana1318a · December 2010

My doctor told us to wait 3 cycles after our natural m/c

and I really don't think I want to. But he did talk about the uterine lining needing to rebuild itself, and hormones needing to level out. And since I'm terrified of another loss, I think we probably will wait. Feels like forever though. We'll see if we make it the entire 3 cycles..

erikaja6 · December 2010

dana1318a:
My doctor told us to wait 3 cycles after our natural m/c and I really don't think I want to. But he did talk about the uterine lining needing to rebuild itself, and hormones needing to level out. And since I'm terrified of another loss, I think we probably will wait. Feels like forever though. We'll see if we make it the entire 3 cycles..

My doctor pointed out that my uterine lining was thin and stated that one of the reasons he wanted me to wait was to give my uterine lining time to rebuild itself. He mentioned that I have a higher chance of miscarrying if I conceive and my body has not fully repaired itself/recovered. He wants me to wait two cycles. However, another doctor stated that if my next period seemed regular she would be okay if we started trying after waiting one cycle.

kimmiekp · December 2010

Isn't it interesting how many women get different answers from their doctors? I had a female doctor who I LOVED in FL but we moved. After my first MC she said "There is no medical reason why you would have to wait a cycle to try and start again, it makes it easier for us to date the pregnancy, but you can start trying again as soon as you'd like". Now I'm also over 35 so they might be thinking, we'd rather get her pregnant sooner rather than later... but I dunno if that's the case. She also told me "There is no "magic" age where things are going to go wrong, and not to fret about the age issue" - this doctor I have here in NC can't help himself but to remind me repeatedly of my "mature age".... But then when push came to shove with the repeated miscarriage he never blamed it on my age he just said "something is clearly going on, we just can't figure out what it is.." This last miscarriage I did not wait a cycle, I used my miscarriage as my LMP and got pregnant right away and this was the longest I've held a baby... So, I guess you really have to weigh your impatience over any potential risk of a thin uterine lining. ??????

jenn0021 · December 2010

The nurse who I was dealing with at the pregnancy clinic said that once my hcg levels were less than 5 we could start trying again right away. But this was also when she thought I would miscarry naturally. 7 weeks after I found out there was no more heartbeat I had to get a D&C because the bleeding wasn't stopping. The doctor who performed the D&C told us me right before I went in for the procedure that we had to wait 2-3 cycles. I was going to go with the 2 cycles because I really wanted to start trying again. But then at the follow up appointment he said we should wait 3 cycles to be sure the uterine lining was back to normal. I think it really depends on the situation and the doctor. Even though I'm very impatient and these last couple of months have gone by so slowly, I am obeying him because I want to give this next pregnancy the best start yet. But it's so hard to wait! I should get my next AF on Monday so I'm hoping it comes on time and then we can TTC again! Here's hoping everything goes well.

christie808 · December 2010

Oh please wait!!!!! I only say that because I had a natural MC in July and kept reading that you are very fertile after an MC and that your body would not "let you get pregnant" until it was ready, but that is NOT what happened to me. I got pregnant about two weeks after my natural MC and then had an ectopic pregnancy. I was told it was because I never let my body heal after the first one, and it had to be aborted (I was given the Methatrexate shot). Then after that (which was the worst experience of my life, seeing as they gave me the shot to end my pregnancy in the MATERNITY WARD, with babies being born all around me) I had to wait three LONG months for my body to completely heal from 2 miscarriages in 2 months. That was Sept and we are just now about to try again. PLEASE wait at least a month....I was so impatient to get pregnant again and have the MC just be a bad memory that I made things way, way worse for myself. I wish someone had told me back then just to give myself a month and maybe I would be preggers now and not in the position I'm in.

7/04Bride · December 2010

christie808:
Oh please wait!!!!! I only say that because I had a natural MC in July and kept reading that you are very fertile after an MC and that your body would not "let you get pregnant" until it was ready, but that is NOT what happened to me. I got pregnant about two weeks after my natural MC and then had an ectopic pregnancy. I was told it was because I never let my body heal after the first one, and it had to be aborted (I was given the Methatrexate shot). Then after that (which was the worst experience of my life, seeing as they gave me the shot to end my pregnancy in the MATERNITY WARD, with babies being born all around me) I had to wait three LONG months for my body to completely heal from 2 miscarriages in 2 months. That was Sept and we are just now about to try again. PLEASE wait at least a month....I was so impatient to get pregnant again and have the MC just be a bad memory that I made things way, way worse for myself. I wish someone had told me back then just to give myself a month and maybe I would be preggers now and not in the position I'm in.

I'm going to give my doctor a call tomorrow to see what she thinks. I have a feeling that your ectopic pregnancy was just pure bad luck. I'm not a doctor, but I can't really see how a previous miscarriage would cause the baby to implant in the wrong place. It's not like it gets to the uterus and doesn't like the environment, so it looks for another place, right? Also, my friend had to have the same shot as you for an ectopic pregnancy and she was told she needs to wait to try because the drug has to get out of her system. I'm not sure that it's because of the lining needing to build up. Like I said, I'm going to see what my doctor's opinion is tomorrow. If she wants me to wait simply because of the dating my pregnancy thing, then I'm not going to wait. If I end up ovulating this month, I'll know that we did and we'll just have to date the pregnancy with that date (which is more accurate anyway). If she's concerned about my lining or anything else, then I'll certainly take her advice and wait a month.

Shawnly82 · December 2010

I hope you update us with what your doctor said I am curious. And I agree with your last post.

RobertsMiracle · December 2010

I had a missed miscarriage at 9w5d at the end of October and a D&C on November 3rd. My doctor told me to wait at least 2 cycle to help create a healthy uterine lining for a new baby and get my body back into a normal routine. He also told me the risk of another miscarriage if I didn't wait at least one cycle is slightly higher. But I would definitely listen to your personal doctor because they will know what is best for your situation.

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