Menstruation after miscarriage: what to expect

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Spontaneous abortion is an experience that many women experience on their skin, a moment that changes and marks their life from a psychological but also a physiological point of view. In this regard, they are the menstruation after miscarriage to undergo the most important changes: the cycle after a curettage will have different contours from woman to woman but will inevitably undergo changes, small adjustments to return to the balance prior to the uterine revision as a result of an abortion. The menstrual cycle in this sense becomes a way to understand the normal changes of the body after an experience such as miscarriage and the taboos that are often associated with it. What to expect, what changes and when menstruation returns after an abortion: let's take stock of the most important issues.

In this article

  • Menstruation after miscarriage, what to expect
  • The first cycle after a miscarriage
  • When it is necessary to see the gynecologist
Read also: Miscarriage and stillbirth, why women need to talk about it

Menstruation after miscarriage, what to expect

Curettage after a miscarriage is a shared experience, according to the latest estimates, by 1 in 4 women who discover that she is pregnant and lose the baby within the first trimester of pregnancy (in 85% of cases). The figures remain equally high when it comes to stillbirth (which occurs after the twenty-second week of pregnancy) and which, in Del Paese alone, affects 3-5 families out of every 1000 expecting a baby.

In addition to the psychological impact that spontaneous abortion causes on the couple, this event also closely affects the menstrual cycle, changing its timing, methods, symptoms and extent. And anticipating these changes can be a valid support for the mother, to know what to expect from menstruation and in particular from the first cycle after the abortion.

The first cycle after a miscarriage

Symptoms of menstruation after an abortion

The first period after an abortion is experienced by several women as being longer and heavier than normal. The symptoms related to this return are very similar to those that usually accompany menstruation, but are perceived in a more impactful way than usual: they are linked to stronger odors, more intense bleeding and, in some cases, even greater pain. Women who have experienced miscarriages have reported experiencing these symptoms on their skin:

  • Leaks with strong odors
  • More substantial blood loss
  • Longer menstruation
  • Pain
  • Sore breasts

How long do menstruation return after an abortion?

On average after 4-6 weeks, but it may take a few more days for your period to settle down to its normal rhythms. Irregular cycles prior to a miscarriage usually remain irregular. The duration of menstruation according to the cross-research of Medical News Today is 4-7 days on average.

According to some research such as those reported by Your Period, women who experience miscarriage between the twelfth and twenty-sixth week of pregnancy may have periods again more than 6 weeks after the abortion. 

How many cycles does it take before everything goes back to the way it was before

At least a couple of cycles are needed for the body to restore itself to the period before pregnancy and miscarriage.

Read also: 10 things to know about menstruation and the contraceptive pill

When it is necessary to see the gynecologist

If premenstrual spotting becomes persistent or if you lose blood, you need to see a doctor. In fact, a visit and further investigations may be necessary to understand if there are adhesions in the uterus to be treated as soon as possible.

What is important to know is that a woman can ovulate and become pregnant even two weeks after the abortion. However, if physiologically it is an experience that the body is ready to do after a few days, the psychological aspects of getting pregnant after a miscarriage may not run on the same tracks and at the same speed. This is why it is important to restore effective contraceptive methods if you are not looking for a new pregnancy immediately. In this way you can get around the first cause of missed periods after an abortion, that is the occurrence of a new pregnancy.

However, if your period does not come for different reasons and within the physiologically considered normal periods, it is essential to see a doctor to make sure everything is okay.

When to see a doctor to see if everything is okay? Here are the situations to watch out for regarding miscarriage and menstruation:

  • Monitor the arrival of the first period and consult the gynecologist if menstruation does not return within 7-8 weeks of the miscarriage
  • Excessive bleeding: If the tampon fills up within an hour, a doctor should be called
  • Continuous bleeding: also in this case it is necessary not to underestimate this symptom
  • stomach ache
  • Temperature
  • Flu symptoms

In any case, six weeks after the abortion, it is always a good idea to see the gynecologist for a check of the uterus, to understand what to expect not only from menstruation but in general from your body after an experience like this.

  • termination of pregnancy
  • Menses
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