Miscarriage and the Return of Your Period

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Whether or not you're planning to try to get pregnant again right away, chances are you're curious about when to expect your period after miscarriage. Resumption of menstruation after miscarriage is a good sign that you're physically recovering, and that your body will be back to normal soon.

When to Expect Your Period

When you can expect your period to return is probably the most common question women have about physical recovery after a miscarriage, and the answer varies depending on the person.

There are several factors that affect the timing of when you will resume menstruation, including:

  • The regularity of your menstrual cycle: If your cycle was unpredictable prior to your early pregnancy loss, it will likely be the same after your miscarriage.
  • The gestation at the time of the loss: Generally, depending on how far along you were in your pregnancy when you miscarried, you should get your first period after a miscarriage within six weeks. If you were further along, it might take longer for it to come back than if you were in early pregnancy when the loss happened.

When Will I Ovulate?

According to the American College of Obstetricians and Gynecologists (ACOG), ovulation can occur as soon as two weeks after an early pregnancy loss. And since ovulation happens before you get a period in any given cycle, you may be fertile before you realize it.

It's important to note that it's possible to become pregnant during your first menstrual cycle following a miscarriage.

If you do not wish to become pregnant again right away, talk to your doctor about birth control. For example, an intrauterine device can be inserted immediately after an early pregnancy loss, notes ACOG.

The First Period After Miscarriage

For some women, that first period after a miscarriage will not be noticeably different from your normal period, but other women might experience the following:

  • Clotting due to a heavier flow
  • Discharge with a strong odor
  • Heavier or lighter bleeding
  • Longer than usual period
  • More painful period
  • Tender breasts

In addition to physical symptoms, many women also experience emotional symptoms due to hormonal fluctuations as well as the distress of the miscarriage itself.

One study found that nearly 20% of women who experience early pregnancy loss experience symptoms of depression and anxiety. 

When to Call Your Doctor

If your period remains abnormal for multiple cycles, or if you're having severe pain or other concerns associated with your period, you should let your doctor know.

Furthermore, if it has been longer than two or three months since your miscarriage and you haven't yet had a period, you should inform your doctor. An extremely light or no period could be a sign of Asherman's syndrome, which is scarring in the uterus which can occur after a D&C.

Especially if you have a history of depression, a miscarriage can increase your risk of having an episode of clinical depression after a miscarriage. Be sure to contact your doctor if you're experiencing any of the following signs:

  • Appetite changes
  • Fatigue and low energy
  • Irritability or restlessness
  • Loss of interest in formerly enjoyable activities
  • Persistent feelings of sadness, emptiness, hopelessness, guilt, or helplessness
  • Persistent pains or digestive problems that do not respond to treatment
  • Problems in concentrating and making decisions
  • Sleep disturbances
  • Thoughts of suicide

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

When to Try Again

After a miscarriage, you may find yourself thinking about trying again for a new pregnancy. A lot of physicians advise waiting anywhere from one to three months before attempting to conceive again. This is because some doctors believe there is an increased risk of miscarriage if couples conceive too soon.

Others believe that couples need time to grieve the previous loss. And some recommend waiting for at least one menstrual cycle simply to have a normal period to use in dating the next pregnancy.

Yet, short of individual health circumstances, there's no convincing evidence that it's medically necessary for most women to wait any set period of time to conceive after a miscarriage. If you have any questions or concerns, you should discuss them with your physician.

If you have had two or more miscarriages in a row, it's a very good idea to make an appointment with your OB-GYN and a fertility specialist.

A Word From Verywell

Miscarriage is a major life stressor for those who experience it, and feelings of loss, anger, sadness, guilt, and more can linger in the months or years following a miscarriage. You and your partner should take enough time to grieve properly after pregnancy loss and meet with a mental health professional if needed.

When you and your partner feel comfortable and ready for pregnancy, this is a good time to consider becoming pregnant again. Successful pregnancy after miscarriage is very common.

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  1. American College of Obstetricians and Gynecologists. Early Pregnancy Loss. 2015.

  2. Nynas J, Narang P, Kolikonda MK, Lippmann S. Depression and Anxiety Following Early Pregnancy Loss: Recommendations for Primary Care Providers. Prim Care Companion CNS Disord. 2015;17(1). doi:10.4088/PCC.14r01721