Featured Post

Wednesday Women's Health in the News: Most Frequently Asked Questions On MonaLisa Touch Vaginal Therapy

MonaLisa Touch: The Issue of Vaginal Symptoms Even with the passage of time, many women still retain their youthful energy and enthusi...

Menopause: Making Peace With Change

Sunday, January 31, 2016

Trying Again After Miscarriage?

After miscarriage many couples want to get pregnant again, soon. It's important that you understand your body, your emotions, and the fact that it is unlikely your health behaviors caused the miscarriage. Whatever the cause research says it's unlikely that the medical issue will recur and you should just try again. In fact waiting over 3 months can increase the chance of adverse outcome in the next pregnancy. In fact waiting over 12 months increases the risk of having trouble getting pregnant again according to the Concepcion After Pregnancy Loss article in Feb 2016 issue of Obstetrics and Gynecology.. About half of all the miscarriages are due to chromosome problems in that egg alone and thus will not be repeated. In the newest studies it shows that chromosomal problems account for a bit less than 50% of all spontaneous abortions, also known as miscarriages. The next most common reason for a miscarriage is that the implantation location in the uterus was poor, but it might have only been poor in that one cycle. Other correctable reasons for miscarriage are smoking, extremely thin or being obese, consuming too much alcohol, having used medication that could cause a miscarriage or being in a prior accident. The final question then becomes: how soon can a couple safely try for another pregnancy after an early miscarriage?
After you miscarry you can ovulate as soon as 2 weeks. So the decision to contracept for a bit or to begin trying again if you were trying for pregnancy is an important one. The WHO has recommended waiting 6 months. Other organizations have focused on birth spacing mostly after full term births or after births in third world countries. The WHO information was based on one study that was done in Latin America. Now there was a new study out of Scotland looking at over 30,000 women with their first miscarriage, during the second pregnancy over a twenty year period of time. And over 40% got pregnant within those first 6 months and actually getting pregnant within those first 6 months was better than waiting longer in terms of healthy pregnancy outcomes. A new article in the NY Times also talk about the fact that women trying quickly got pregnant more easily. So we are telling women they need not delay as long. Now if you became very anemic, or have other medical conditions to correct, or have emotional reasons you need to slow down, those are reasons to sit and gab with your gyno and figure out how long, what nutritional changes, and what other medical tests to do before launching out on your own. And if you didn't have a pre-pregnancy planning visit with your gyno, even if you are healthy, you may want to schedule that visit. At Women's Health Practice we also offer genetic testing for couples with problems of miscarriage, infertility or a history of birth defects. And after pregnancy is achieved again there are now arrays of tests that can test for the genetic health of the baby. Once you do get pregnant again, if you are 35 years old, or younger, and there is a fetus with a heart beat seen on ultrasound, the risk of miscarriage will be less than 5%.

No comments:

Post a Comment

Thank you for your comments and questions. This blog is not intended to replace medical care, but is informational only. We hope you will become a follower or visit Womens Health Practice. We offer a variety of unique services including MonaLisa Touch, Coolsculpting, Labiaplasty, and Gynecoloigic Clinical Research Trials. For more information on menopause see http://www.amazon.com/Menopause-Make-Peace-Change

Follow on Twitter

Follow GynoGab on Twitter

Vaginal Contraceptive Ring

If you are a female between the ages of 18 and 35 you may be eligible for a contraceptive ring investigational contraceptive medication study. Qualified participants will receive study-related medical evaluations and care at no cost. If interested, please call 217-356-3736.

There was an error in this gadget

Gab ON!

Ciao, from Gyno Gab Gal! Send me questions and thoughts and let me know what is important to you! Hope to hear from you often.

Join one of our studies, become a patient at Women's Health Practice, come for an event, or visit any one of my websites our FB https://www.facebook.com/pages/Womens-Health-Practice/149858581724556?ref=hl

Women's Health Practice
Hada Cosmetic Medicine

Follow Women's Health Practice and Hada Cosmetic Medicine on Facebook https://www.facebook.com/pages/Hada-Cosmetic-Medicine/68631517372?fre!

Follow GynoGab on Twitter!

Adult Vaccination Recommendations