When You Skip a Period After Miscarriage

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After a miscarriage, it can take time for your body to fully recover. This includes resuming menstruation. Most women will have a period within four to six weeks after the loss of a pregnancy, but it may take as long as two to three months before menstruation returns to normal.

For someone who's eager to begin trying to conceive again, the wait for a regular cycle can be frustrating. If you're in this situation, try to be patient with your body—it may simply need a little extra time to recover in order to be ready for another pregnancy.

Reasons for a Delayed Period After Miscarriage

There are different reasons that you are experiencing a delay in normal menstruation after a miscarriage. Communicate with your healthcare provider for personalized advice. These are some likely reasons that your period may not resume right away.


If it's been longer than a couple of months since your miscarriage and you haven't had a period yet, consider taking a home pregnancy test if you've been having sex without using birth control since your miscarriage.

It's possible to become pregnant immediately after a miscarriage and before you have a period. Some women do not experience any delay in the return of normal menstrual cycles, and thus, ovulation may occur as early as two weeks after a miscarriage.

No matter the result of your home pregnancy test, call your gynecologist.

If you aren't pregnant, it's unlikely anything serious is going on. But there could be a complication responsible if your miscarriage was treated with a dilation and curettage (D&C), in which a surgical instrument is used to remove tissue from the uterus.

Asherman's Syndrome

A small number of women develop Asherman's syndrome after a D&C. In this condition, scars and adhesions form when membranes in the uterus stick together or grow back abnormally after being cut and can interfere with ovulation and obstruct the uterus and cervix.

Although Asherman's syndrome is most commonly a complication of a D&C, especially when the retained products of conception become infected, it also can result from a cesarean section, a D&C performed as part of abortion, or a myomectomy, which is surgery to clear the uterus of fibroids.

Signs of Asherman's syndrome include lack of menstrual periods, cramping but little or no bleeding at the time of an expected period, trouble getting pregnant, and recurrent miscarriages.

The best way to diagnose Asherman's syndrome is by means of hysteroscopy performed by an OB-GYN. For this procedure, a thin, lighted telescope-like device is inserted into the vagina and through the cervix into the uterus.

From there it transmits images of the inside of the uterus onto a screen. Specialized ultrasound and X-ray using dye also sometimes are used to visualize scar tissue in the uterus and thus diagnose Asherman's syndrome.

The scar tissue or adhesions that characterize Asherman's syndrome can be removed surgically. Sometimes, these adhesions return; this return of adhesions can possibly be prevented with the administration of hormones (estrogen). Many women who have adhesions removed for the treatment of Asherman's syndrome become fertile again.

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Article Sources
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  1. March of Dimes. Miscarriage. Updated November 2017.

  2. American College of Obstetricians and Gynecologists. Dilation and Curretage. 2019.

  3. Cenksoy PO, Ficicioglu C, Yesiladali M, Kizilkale O. The Diagnosis and Management of Asherman's Syndrome Developed after Cesarean Section and Reproductive Outcome. Case Rep Obstet Gynecol. 2013;2013:450658. doi:10.1155/2013/450658

  4. Dreisler E, Kjer JJ. Asherman's syndrome: current perspectives on diagnosis and management. Int J Womens Health. 2019;11:191-198. doi:10.2147/IJWH.S165474

  5. Johary J, Xue M, Zhu X, Xu D, Velu PP. Efficacy of estrogen therapy in patients with intrauterine adhesions: systematic review. J Minim Invasive Gynecol. 2014;21(1):44-54. doi:10.1016/j.jmig.2013.07.018 

Additional Reading
  • Simon A, Chang WY, DeCherney AH, eds. "Chapter 54: Amenorrhea." CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e. New York, NY: McGraw-Hill; 2013.

  • American College of Obstetricians and Gynecologists. "Hysteroscopy." Oct 2011. 
  • American Pregnancy Association. "After a Miscarriage: Physical Recovery." Aug 2015.