Ovulation After Miscarriage

QUESTION

Dear Midwife,
I am 22 years old, I have been off of birth control for about 14 months. I did not start having normal periods until 7 months after I discontinued birth control.

Finally at the middle of Nov. I found out I was 7 weeks pregnant, however I had a miscarriage the following week after I found out. After the miscarriage i have only had one period on Jan. 17.

After missing my period I took a test and it was neg. Then took a blood quantitative hcg and came back with less than 1.

Is this normal to not ovulate or get normal periods after a miscarriage? If so, when can I expect to start ovulating, or what can I do to help my body go back to normal?

ANSWER

It partly depends on whether you had a natural miscarriage or surgery (dilation and curretage or D&C). If you had a D&C, the scraping of the uterine wall can take a while to heal. If you had a normal miscarriage and miss a second period, it is time for a check-up.

-- Cynthia, CNM. PhD.

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Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.