How does pregnancy go after a miscarriage. Planning for pregnancy after a miscarriage. Why doctors are against pregnancy immediately after a miscarriage

Violation of the reproductive system often makes pregnancy impossible after a miscarriage. In order for conception to occur, a woman has to undergo more than one examination to determine the cause of the interruption. However, the onset of pregnancy may end.

Is it possible to get pregnant immediately after a miscarriage?

When asked whether it is possible to get pregnant after a miscarriage a month later, doctors give a positive answer. This is due to the fact that the reproductive system continues to function as before: a mature egg ovulates and enters the abdominal cavity. Sexual contact without the use of contraceptives and drugs at this time can lead to conception.

To prevent pregnancy after a recent miscarriage, doctors advise using protection. For this purpose, a woman is prescribed hormonal contraceptives. These drugs not only prevent fertilization, but also restore hormonal levels, normalizing the reproductive system. It is necessary to apply them taking into account medical prescriptions, observing the dosage, frequency and duration of administration.

Pregnancy after an early miscarriage

Termination of pregnancy at the initial stages is often due to a violation of the implantation process. The fetal egg does not penetrate into the wall of the uterus, it dies and exits. Such a phenomenon may be of a single nature, so an attempt to conceive a child a second time becomes successful. However, a miscarriage at the beginning of the gestation process can also occur due to the Rh conflict (the second most common pathological factor).

In this case, an Rh-negative woman conceives an Rh-positive fetus. As a result, the maternal organism perceives the erythrocyte antigens of the embryo as foreign. As a result of the response from the female body, decay occurs, hemolysis of the erythrocyte cells of the fetus, and this can result in the death of the baby. In such a situation, pregnancy a month after a miscarriage is more likely to be interrupted.

Pregnancy after late miscarriage

Abortion in late gestation is often associated with a violation of the very process of bearing a baby. Failure to comply with medical instructions, appointments, regimen may lead to its interruption. At the same time, there are no violations in the female body, so pregnancy after a late miscarriage often occurs quickly. Doctors do not exclude the possibility of its onset in the next menstrual cycle.

Pregnancy immediately after a miscarriage - consequences

Pregnancy immediately after a miscarriage is associated with a high risk of re-interruption. This is due to a disturbed hormonal background and an unrecovered reproductive system. Hormones for some time continue to be synthesized in the same volume as during pregnancy. This prevents normal implantation, so if fertilization occurs, the fertilized egg cannot penetrate the uterine wall.

In addition, miscarriages are often accompanied by large blood loss. Against its background, the risk of developing posthemorrhagic anemia increases. With such a violation, the amount of hemoglobin in the woman's blood decreases. The onset of pregnancy at this time is fraught with the development of chronic hypoxia in the fetus. The constant lack of oxygen, which is carried to the baby along with the blood, leads to his oxygen starvation.

How to plan a pregnancy after a miscarriage?

A woman should carry out pregnancy planning after a miscarriage in accordance with medical recommendations. Before embarking on active steps to conceive a baby, she must undergo a comprehensive examination. The detection and exclusion of the cause that caused spontaneous abortion causes a relapse of the pathology.

When can I plan a pregnancy after a miscarriage?

A woman who has had an abortion is often interested in the answer to the question regarding how long after a miscarriage it is possible to plan a pregnancy. In such cases, doctors do not give a definite answer. It all depends on the cause that provoked a spontaneous abortion, and the state of the woman's reproductive system. Often the need for a break before planning the next conception is due to therapy.

It takes at least 6 months to restore the reproductive system itself. During this period, doctors recommend protecting yourself, using contraceptives. After six months, a woman can plan the next pregnancy after a miscarriage. You must first undergo a re-examination and, after obtaining permission from the doctor, proceed with active actions.

How to prepare for pregnancy after a miscarriage?

Pregnancy after a spontaneous abortion must be carefully planned. The woman will have to undergo an examination to identify the cause of the miscarriage. Its exclusion is the key to successful conception and childbearing. It is often difficult for a woman to ovulate after a miscarriage, therefore, in order to establish the time of its passage in the body, it is necessary to conduct a test. In parallel, the hormonal status is determined, since an excess of androgens often acts as a reason for terminating a pregnancy. Other required studies include:

• determination of the level of ketosteroids in daily urine;
• examination for latent infections - herpes, chlamydia, mycoplasmosis, ureaplasmosis, cytomegaly;
• - the structure of the uterus and appendages is examined, a violation of the structure of the reproductive organ is excluded;
• genetic counseling.

How to get pregnant after a miscarriage?

In some cases, after numerous examinations and treatment, conception after a miscarriage does not occur. In such a situation, doctors advise focusing on lifestyle and adhering to the following rules:

1. Do not be nervous. A woman should exclude from her life all the factors that provoke stress and anxiety.
2. To refuse from bad habits. Doctors advise not to use alcohol and nicotine to both potential parents.
3. Do not take medicines on your own. The use of any drugs during pregnancy planning must be agreed with the doctor.
4. Eat properly. In the diet, it is necessary to increase the content of protein foods: lean meats (veal, lamb), fish. Eating fresh vegetables and fruits helps to saturate the body with vitamins.

After a miscarriage, pregnancy does not occur

Turning to the doctor for help, women complain that they cannot get pregnant after a miscarriage. It should be taken into account that the absence of conception in the first months after an abortion is not a violation - the body recovers gradually, therefore there is no ovulation after a miscarriage. You can set its time in the body by measuring. Sexual intercourse during ovulation increases the chances of conception.

If regular, and pregnancy does not occur, it is necessary to check the quality of the male ejaculate. When examining a partner, poor sperm quality is often detected - there are few germ cells, they have an irregular morphology, their mobility is impaired. The only way out of the situation is the treatment of the partner, after which you can plan a pregnancy after an early miscarriage.

How to keep a pregnancy after a miscarriage?

So that pregnancy after a spontaneous miscarriage is not interrupted again, a woman must fully comply with medical instructions. You can not ignore any changes in well-being - everything must be reported to the doctor.

In our life, we are not always able to control the course of things and sometimes it happens that situations occur that we prefer not to even think about. This also applies to spontaneous miscarriage - a bereavement for future parents in most cases.

This is especially difficult for couples who have been trying to conceive a child for a long time or have undergone long-term treatment for infertility. But life goes on, over time, the pain of loss is replaced by humility and calmness, there is a desire to live and build your happiness. Today we will look at planning a pregnancy after a miscarriage.

Concept of miscarriage

Doctors understand a miscarriage as a spontaneous abortion that occurred during the period of gestation in the early stages (I and II trimester). In this case, the embryo or fetus is rejected for some reason and leaves the uterine cavity, losing viability.

Depending on the period at which the abortion occurred, there are early miscarriage (up to 12 weeks) and late miscarriage (up to 22-28 weeks of gestation). Moreover, most spontaneous abortions occur in the first 5-8 weeks of pregnancy, and sometimes a woman is not even aware of her situation, referring to heavy periods or their delay.

Unfortunately, miscarriage is a common occurrence. According to statistics, every 5th pregnant woman (about 20% of all pregnancies) faces this problem. The figures are very serious, but it is rather problematic to regulate them, because a lot depends on the woman herself.

However, situations arise that an arbitrary abortion becomes a regularity with a new attempt to become pregnant and another new life ends without having had time to begin. This condition is characterized as habitual miscarriage. The phenomenon is extremely rare, but it has a place to be. In this case, with each unsuccessful attempt to carry the fetus, the chances of a successful completion of the pregnancy tend to zero, i.e. the more miscarriages a woman has, the less her chances of becoming a mother.

However, the question is: “Is it possible to get pregnant after a miscarriage?” for a woman may be relevant. We can safely say that it is POSSIBLE to get pregnant after a miscarriage, because even after two or three unsuccessful attempts, there are good chances of becoming a mother - about 50%. Therefore, you should not put an end to your motherhood, but rather pull yourself together and approach planning a new stage in your life with full responsibility.

Causes of arbitrary abortion

As for the reasons for such a sad outcome, there can be a great many of them, but the vast majority lies precisely in any disturbances in the mother's body or in the developmental processes of the fetus.

Many doctors are skeptical of the popular belief that a miscarriage can be caused by severe emotional upheavals or physical exertion. Of course, it is necessary to avoid unwanted effects, but in extremely rare cases, they directly affect the termination of pregnancy. Often or exorbitant loads only trigger a long chain of changes that develop into something more if there are violations in the mother's body. If everything is fine with the health of the expectant mother, then it makes no sense to talk about such risk factors.

Genetic anomalies in the development of the fetus

When female and male gametes are combined, a fetal egg is formed, which grows every day using the mechanism of division at the cellular level. Chromosomes also undergo division - a kind of carriers of genetic information. As a result of their division (mitosis), anomalies are formed that cause multiple mutations of the fetus that are incompatible with life. Thus, nature "corrects" its mistakes through natural selection, striving to create viable children with pure genetic material.

It is the malformations at the genome level that are the cause of half of the miscarriages in the first trimester. Most often this happens at 5-6 weeks of the gestational period, and sometimes the woman has not even had time to understand what she was wearing under the baby's heart.

In such situations, the possibility of studying a rejected fetal egg is practically negligible due to its small size and the woman's possible ignorance of her position. But, if the embryo was still saved for research, this is very good, since the method of cytogenetic analysis can determine the possible cause of miscarriage and take appropriate measures in the future.

Hormonal disruptions

In this case, the cause of abortion without medical intervention is the unstable hormonal background of the woman, which is the cause of malfunctioning of the ovaries or chronic diseases associated with hormone-producing organs. In such cases, a miscarriage is expected if the woman has not taken appropriate measures to normalize hormone synthesis.

The reason for this development of events is a decrease in the concentration of hormones responsible for the course of pregnancy: progesterone and estrogen. In some cases, the corpus luteum of the ovary in the early stages does not produce enough progesterone to maintain pregnancy, while in others, male sex hormones (hyperandrogenism) predominate in the woman's body.

In any case, a miscarriage does not occur unexpectedly, first there is a long-term threat of termination of pregnancy in the form of aching pain in the lumbar region, bleeding of varying degrees. At the initial stages, the embryo can be saved in a hospital, but pronounced hormonal disruptions and untimely assistance lead to such a sad outcome.

Pathologies of the female genital organs

They are a very common cause of miscarriages at any time. These include, most often, anomalies in the development of the uterus in the form of its atypical shapes and sizes (bicornuate, sickle-shaped, infantile) or non-specific structures in the cavity (fibroids, polyps, septa).

The fact is that in such a uterus it is very difficult for a fetal egg to gain a foothold when leaving the fallopian tubes, and if this is still possible, then anatomical features and foreign formations interfere with the growth and development of the fetus. A rapidly growing baby becomes cramped and the body simply cannot cope, solving the problem by terminating the pregnancy.

In such cases, the solution of the issue for the better, unfortunately, is not always possible. With congenital malformations of the uterus in the form of its abnormal form, bearing a child is impossible under any circumstances. In other cases, all benign formations and partitions are removed surgically.

Isthmic-cervical insufficiency

Possible causes of miscarriage include incompetence of the cervix (isthmic-cervical insufficiency). A weak and loose neck simply does not hold the fetal bladder with a developing baby, the child literally falls out of the uterus. This is complicated by the fact that due to leakage of the uterus through the cervix, infection with pathogenic microflora from the vagina can occur and, as a result, an extensive infection and miscarriage in the future (mainly in the second trimester). The cause of this condition may be previous abortions with curettage, mechanical injuries and an excess of male hormones.

This problem can be solved if timely measures are taken to preserve the pregnancy. Appropriate treatment is prescribed in case of infection or hormonal imbalance, in some cases a small surgical intervention is necessary in the form of suturing the neck to secure it or a special ring - a pessary.

Women's blood clotting disorder

It happens that a woman's blood is prone to more rapid clotting than normal, which is the risk of microthrombi in the capillaries of the placenta. As a result, the nutrition of the fetus is disrupted, which dies from hypoxia and exhaustion. This condition can become a possible cause of spontaneous abortion, but is corrected in the future.

Incompatibility of partners and Rhesus conflict

Our immune system is designed to protect the body from foreign agents that threaten its normal functioning. But it happens that the system works "against its master" and crashes. Yes, yes, even in the human body, as in high-precision technology, malfunctions can occur. As a result of such “malfunctions”, the woman’s immune system perceives the fetus as a foreign body, which it tries to get rid of with all its might.

Such a condition can occur when spouses are incompatible or, conversely, due to their excessive “similarity” at the cellular level. In this case, the mother's body perceives the future little man as its own cells, with which "something is wrong."

The cause can also be a Rh conflict - a condition in which the Rh factor of the mother and the Rh factor of the child are incompatible, for this reason antibodies are produced that destroy the erythrocytes of the fetus and lead to the development of pathologies or death in the womb.

The conflict occurs only in those women whose Rh factor is negative (“Rh-”, meaning the absence of the D antigen on the surface of red blood cells). If the fetus has Rh +, then the mother's body accumulates antibodies to it, rejecting the "foreign" organism. As a rule, complications do not occur in the first pregnancy, however, if the second pregnancy or there was a miscarriage before, then the likelihood of complications increases. In this case, the conflict develops ONLY with a negative Rh in the mother and positive in the child.

Intrauterine infections

Well, the final reason for interrupting the gestational period are intrauterine infections. That is why it is so important to monitor your health during the period of bearing a baby and, if possible, minimize the risk of infectious diseases. It is impossible not to pay attention to STIs (gonorrhea, chlamydia, herpes, etc.), which can penetrate into the uterine cavity, and then infect the fetal membranes, amniotic fluid. As a result of infection of any type, mutations and anomalies in the development of the fetus that are incompatible with life occur.

When can you start over?

Regardless of the reasons for the sad end of a previous pregnancy, you should not give up trying to become parents. But thoughtlessly approaching the issue is also not recommended. This time it is necessary to do everything possible so that the baby is not only born alive, but also completely healthy.

“How long to plan a pregnancy after a miscarriage?”- this thought is born in the head of the parents some time after the sad event. From a physiological point of view, this is possible already during the period of the first ovulation, literally 2-3 weeks after a spontaneous abortion. There were cases that women found themselves in a position almost immediately, while giving birth to healthy babies. But relying on "maybe" is very frivolous, because it is important to take into account not only the physical readiness of a woman, but also the moral aspect.

Some couples experience the loss so hard that they may recover in a few months or even years. Experts advise not to rush into trying to conceive a child and wait about a year. During this time, the woman's body will recover in all respects, at the same time there will be enough time to undergo a full examination, to prepare thoroughly for parenthood.

Restoring the functions of the body and its ability to bear a child is also extremely important. Therefore, planning for pregnancy after an early miscarriage (with or without a cleansing) and trying to get pregnant after a miscarriage in the second trimester are somewhat different.

If the abortion occurred in the early stages, then the body recovers faster. Cleaning or scraping allows you to remove dead tissue to avoid infection if they have not left the uterine cavity on their own. But this is fraught with mechanical damage. The need for cleaning after a miscarriage is determined after the results of the ultrasound. Termination of pregnancy in the period from 12 to 28 weeks requires a long-term restoration of the hormonal background, the normal size of the uterus, the menstrual cycle, etc.

Often, new attempts to get pregnant immediately after a miscarriage end similarly sadly, after which the woman only exposes herself to more stress and finds herself in a severe depressive state, moreover, each unsuccessful attempt minimizes the possibility of a favorable pregnancy outcome. So what to do?Let's take a closer look.

• Survive a difficult moment for as long as necessary. When thinking about planning a pregnancy after a miscarriage, it is important to be ready for a new stage in your life, to try to become parents without fear of previous failures. It is after you overcome all fears, let go of the past, you can again think about the baby.

• Review your lifestyle. Sometimes we do not take into account that some factors, insignificant in our opinion, can indirectly affect health and the course of pregnancy as well. Go in for sports, yoga, learn the art of meditation, learn to relax, it will only benefit.

Healthy is the key to the perfect functioning of the body. You will be surprised by the surge of vitality after giving up fast food, canned food and convenience foods. At the same time, proper nutrition in no case means limiting oneself in food, counting calories or something else. What matters is the quality of the food.

Get positive emotions, do what you have long dreamed of: travel, go to an exhibition, to the theater. Endorphins - hormones of joy - a key moment in preparation for a new stage.

Alcohol, and even more so tobacco, should not be in your life. There are many scientific works on the harmful effects of smoking and drinking alcohol during pregnancy, why step on the same rake again?

• To undergo a full examination, and together with her husband, you need to make sure that the future parents are completely healthy. Blood tests, urine tests, ultrasound are prescribed as standard, sometimes there is a need for additional diagnostic methods.

Be that as it may, the survey should be comprehensive and involve both spouses. It is important to exclude the possibility of repeated situations that led to a miscarriage last time. Therefore, a consultation with a gynecologist is indispensable. In some cases, in-depth studies and consultations, an endocrinologist, a surgeon and third-party specialists are necessary.

To stop possible genetic disorders and identify the causes of abortion, special studies of the chromosome set of parents may be required, as a result of which subsequent recommendations may be given.

If the reason for the previous unsuccessful attempt to bear the baby was hormonal changes in the body (polycystic ovaries, diabetes mellitus, dysfunction of the ovaries, thyroid gland, etc.), hormonal therapy and correction of hormone synthesis can be prescribed, and further correction of the hormonal background, if necessary .

With anomalies in the development of the genital organs of a woman, surgical methods of treatment can be used, if they seem possible.

If the cause of the previous miscarriage was immunological problems, then special immunotherapy is prescribed, depending on the type of disorder. In some cases, the correction of the work of the protective system of the woman's body is possible when planning the next pregnancy.

If infectious diseases were detected during pregnancy planning, they are treated before conception, even if they were not the cause of the previous abortion. In the presence of chronic diseases in a woman, appropriate therapy is carried out, aimed at eliminating the acute form of the disease and subsequent control of the remission stage.

Summing up

In our life we ​​never know what will happen to us tomorrow, we cannot be sure that all misfortunes will bypass us. But, it is in our power to reduce this probability to a minimum, making certain efforts for this. Even if at some point life “beat”, as it seems to us, a lot, it’s worth asking yourself: “Why is that?” And think not about how sinful or unfortunate we are, but about the fact that we may be doing something wrong. Life, through bitter mistakes, guides us on the right path and saves us from the worst, even with such harsh methods.

Surviving the loss of an unborn baby is a heavy burden, but even it should not slow down and become an obstacle to achieving the goal. On the contrary, it is an impetus to new achievements with even greater self-confidence and a responsible approach! You will succeed, and the reward for your efforts will be a new nascent life under your heart! Good luck!

Here we meet again, dear readers of my blog. Today I would like to discuss a very important and difficult topic for some women. It will be about pregnancy planning after miscarriage. I think it's not worth saying that the loss of a baby is not only psycho-emotional, but also physical stress for the body. Therefore, a girl who has experienced this should prepare for the next pregnancy with more seriousness and responsibility than the rest. Where should you start planning? What important points should not be missed? How long does it take for the body to recover from a miscarriage? We will talk about this and much more today. So…

Possible causes of miscarriage

Before planning a second pregnancy, it is necessary to determine the cause of the loss of the baby. This is a paramount task, since without fixing the problem, the next conceptions can also end sadly. Unfortunately, if the pregnancy is interrupted over and over again, then the chance of getting offspring is noticeably reduced. But let's be patient and, having a positive attitude, we will still try to figure out why this happened and how to avoid failures in the future.

Natural selection: genetic disorders

If you believe the statistics, then a spontaneous miscarriage in the early stages occurs in every tenth woman. Some ladies may not even notice it and mistake it for another painful menstruation. The embryo is self-rejected due to developmental anomalies or genetic abnormalities. In rare cases, either the mother or the father are carriers of a “broken” chromosome number, which leads to the formation of malformations in the fetus that are incompatible with further growth. Or maybe something went wrong during the primary division of the fertilized egg. Probably, nature itself takes care of us, getting rid of a non-viable child. Maybe it's for the best...

Influence of external factors

In the first twelve weeks from conception, the embryo is very dependent on external factors. Strong physical exertion, work with harmful substances, stressful situations, taking certain medications (when a woman is not yet aware of her situation) can adversely affect gestation.

Did you know that large doses of vitamins A and D in the early stages are very dangerous for a pregnant woman? Uncontrolled intake of drugs with their high content can also provoke a miscarriage.

Quite rightly, the first trimester is considered the most unstable and disturbing! During this period, the expectant mother should protect herself as much as possible from lifting weights, conflict situations, working overtime, and uncontrolled taking pills. But still, experts believe that one of these circumstances and even their combination cannot be considered the only reason for the loss of a child. Understand that when a woman loses a baby and associates it with stress or heavy bags, she still needs to undergo additional examinations with her doctor. Most likely, the true reason lies suddenly, and emotional experiences or physical overwork only accelerated the process.

Hormonal disorders in women

Every woman who is preparing to become a mother should take her health very seriously, especially if she has a history of hormonal imbalance. Most often, disorders of the thyroid gland, ovaries, adrenal glands lead to the disorder. With such pathologies, pregnancy throughout its entire length is at risk and requires scrupulous control by doctors. If the miscarriage still occurred, then before the next conception, you need to undergo a detailed examination by an endocrinologist and gynecologist , maximally "align" the level of hormones, and only then proceed to planning.

Fortunately, modern medicine has learned to correct hormonal dysfunctions quite successfully. Therefore, the choice of a qualified specialist, following his recommendations before conception and throughout pregnancy, in most cases, will help to endure the baby.

Weakness of the cervix, or Isthmic-cervical insufficiency (ICI)

The next cause of miscarriages in the later stages may be the weakness of the muscular ring of the cervix. As the fetus grows, its weight increases, the neck begins to open prematurely. This gives a green light to a large number of bacteria and other microbes that infect the fetal membrane. The larger the lumen of the canal, the more intense the fetal bladder begins to protrude, which at some point will cause a spontaneous miscarriage. Why does this happen?

Most often, the cause of CCI is previous abortions with curettage. Also, recent trauma to the cervix, such as ruptures, damage during a previous birth or caesarean section, contributes to the insolvency of the cervix. If a woman has an excess of male hormones, then under their influence the cervix becomes soft, shortens and opens ahead of time, which often leads to loss of the fetus.

That is why you should not neglect regular visits to the doctor leading the pregnancy. A similar pathology is observed for a period of 16 to 22 weeks, and with timely treatment, disclosure can be stopped. External signs of ICI are not indicated in any way. That is, a woman does not even suspect about the fateful process in her body. Only thanks to ultrasound and examination by a gynecologist can you get a diagnosis in time.

Congenital anomalies in the development of female organs and pathology

Some congenital and acquired pathologies of the female internal reproductive organs make pregnancy practically impossible. If a woman did not know about the characteristics of her body before conception, then the rejection of the embryo will occur in most cases. Such pathologies include a bicornuate or saddle uterus, the presence of partitions in its cavity, genital underdevelopment (infantilism), the growth of benign tumors (myoma nodes), endometrial polyps. Correction of such defects is most often possible only in an operative way.

Infectious diseases

A serious and fairly common cause of miscarriage is a woman's infectious diseases suffered during pregnancy or undertreated before conception. The list of the most common pathologies dangerous for the fetus includes STDs (gonorrhea, trichomoniasis, chlamydia, syphilis, etc.), as well as rubella, cytomegalovirus and influenza.

Pathologies of the immune nature

Spontaneous miscarriages due to an immunological nature do not occur very often. But it's still worth knowing about them. This category is divided into 2 vectors - autoimmune processes and alloimmune. In the first case, the female body perceives the embryo as a foreign body, trying aggressively, with all its might, to reject it. In the second, the cells of the embryo have a pathologically greater similarity with the cells of the mother's body. Most often this happens if both the embryo and the pregnant woman have a positive Rh factor. The appearance of alloimmune antibodies in the body can lead to a miscarriage.

How to prepare for pregnancy after a miscarriage

The experience of a woman who has lost a child cannot be described in words. However, dwelling on this bitter experience is completely unproductive. Happy motherhood is also possible after 2-3 miscarriages, but, of course, the smaller the number, the higher the chance to give birth to a healthy baby soon. That is why conception after loss must be taken very seriously. After how long should you try your luck again?

First of all, a woman must recover in psycho-emotional terms. It is very important not to carry a heavy burden on a new attempt, to try to get negative pictures out of your head. The next step is to visit a doctor who will prescribe basic tests: a detailed blood test, a general urine test. In all subsequent recommendations, specialists will proceed from the reasons for the loss of a child.

For example, if after a miscarriage a woman was cleansed or she had other uterine injuries, then before the next pregnancy, it is advisable for her to sign up for a colposcopy, take a smear for microflora and oncocytology.

Survey

Obligatory after a breakdown are examination of the hormonal system of a woman and testing for STDs and other infections. Upon receipt of unsatisfactory results, the doctor will prescribe the necessary treatment, after which successful conception and gestation will become possible.

Do not forget about the mandatory ultrasound of the pelvic organs. Sometimes an abdominal examination is sufficient (the probe is looked through the anterior abdominal wall). But if the doctor considers it necessary, he will refer you to a vaginal ultrasound (when the sensor is inserted into the vagina). Thus, it is possible to exclude congenital and (or) acquired pathologies of the female reproductive organs. It is advisable to do this examination twice during the menstrual cycle - in the first and second half of it.

When a woman has a miscarriage in the hospital, doctors send the embryo for cytogenetic testing, which will show if a chromosomal factor was the cause of the miscarriage. If this was not possible, then before the next conception, the couple should get a consultation with a geneticist and pass a series of tests, including a study of karyotypes and an analysis for autoimmune antibodies.

When all the examinations are over and the woman is physically ready for a new pregnancy, then 2-3 months before conception, it is important to start taking folic acid or special vitamins with its content. This will not only help the expectant mother to get stronger, but will also have a positive effect on the formation and development of the embryo in the first weeks.

Conclusion

Summing up all of the above, I note that the reasonable planning of a new pregnancy after an unsuccessful attempt will take about 4-6 months. Physically, a woman can be ready earlier, because ovulation will occur in 2-3 months. But is it worth it to rush and neglect additional examinations? I think we all already know the answer.

And on a note ... Do not neglect a balanced diet. Don't forget to completely quit smoking and drinking alcohol! Do I need to remind you that a long night's sleep is very important for the formation of a strong immune system and a smooth emotional state? Therefore, it is very important for the expectant mother to get enough sleep and rest a lot.

That's all for today. I hope that I was able to cover most of your questions about the causes of spontaneous abortion and the timing of a new conception. Maybe you can add something to my story?

If this information was useful to you, then do not be too lazy to share it with your friends. After all, sometimes from such a small thing as advice read in time, someone's life can turn out quite differently. In conclusion, I want to wish you happy motherhood and healthy, strong children! See you soon on my blog pages.

The loss of a child is always grief for his parents, even if he has just begun to grow and develop in his mother's belly.

Spontaneous abortion or miscarriage, as an abortion, unfortunately, is quite common, and given that statistics confirm only cases with recorded pregnancies, the figure can be completely frightening.

Many women cannot cope with their pain after what happened, experiencing serious psychological trauma. Blaming themselves for this tragedy, they are pathologically afraid of becoming pregnant again.

However, a miscarriage is not a verdict of miscarriage or a diagnosis of infertility. This means that you will definitely be able to endure and give birth to a child, but you need to carefully prepare for this.

Some, trying to quickly forget the grief that happened, try to immediately get pregnant again, making various active attempts to conceive a baby. But doctors categorically warn that you should not rush into this.

The fact is that spontaneous abortion serves you as a certain signal that indicates the presence of any unfavorable processes in your body (also in the body of a partner).

Be prepared for the fact that a miscarriage will entail various complications or negative consequences:

• a strong change in hormonal levels;
• anemia or due to large blood loss;
• possible damage to the mucosa if curettage was performed (then it is very difficult to conceive with an injured endometrium);
• inflammatory processes;
• psychological trauma (you may need qualified help from a psychologist).

During this time, you will be able to get stronger, both physically and mentally, plus - fundamentally.

Such a tactic will give you the opportunity to protect yourself from all possible risks or adverse factors that can affect the health and development of the child. So, you can safely endure and give birth to him.

Features of preparing for pregnancy after an early or late miscarriage

Be sure to check with your doctor to prescribe a suitable method of contraception for you. This will help avoid unnecessary surprises, as well as solve some hormonal problems.

Moreover, having rested, your reproductive system will be able to work productively later. The best option in this case would be oral contraceptives.

Only a doctor can help you identify and eliminate the possible reasons why a spontaneous abortion occurred. Only after their discovery it will be possible to draw up a further plan of action.

• Visit a geneticist and get karyotyped.

Very often due to strict "natural selection". That is, if the fetus has some genetic disorders, defects or defects that are incompatible with life, then it simply dies, and a miscarriage occurs.

To exclude this cause, conduct a genetic study of the abortive material (if possible, of course).

You should also definitely visit a geneticist and pass the necessary tests (taken from both partners for the study of karyotypes).

• Get tested for reproductive hormones and thyroid hormones.

Another serious reason for spontaneous abortion can be an imbalance of hormones. The fact is that both the conception and the bearing of a child are influenced by various hormones that are produced by your adrenal glands, thyroid gland, pituitary gland, etc.

Lack or excess of these hormones can adversely affect the body, including causing miscarriage. To find out if there are violations in your hormonal background, you will need to donate blood for analysis.

• Consult with an immunologist.

Complete all the necessary examinations to get an overall picture of your health (this applies to both spouses). To do this, it will be necessary to conduct a study of the immune status (if there is a suspicion of rejection by the mother's immune system), to identify possible hidden or chronic diseases, infections, and inflammatory processes.

A number of analyzes and studies are not in vain, because having been treated for diseases before pregnancy, you can protect yourself from their subsequent exacerbation and negative (destructive) effect on the child.

In addition, taking medications is highly undesirable during pregnancy (especially in the early stages), because drugs can also provoke the development of certain abnormalities in the fetus and lead to its death.

• Get a gynecological examination.

Women should definitely go through a second ultrasound, sonohysterography and hysteroscopy at the planning stage. These procedures will help to give an objective assessment of the condition of the uterus and determine if there are any problems or pathologies:

• notice adhesive processes in the body;
• determine the abnormal structure of the uterus (bicornuate uterus, saddle uterus);
• consider deformations of its cavity;
• identify the presence of partitions;
• detect the presence of diseases in both the endometrium and myometrium.
• Often the cervix is ​​​​injured after abortion or genital surgery, so it develops. it is this pathology that is a common cause.

You should carefully consider all studies in order to understand why the fetus could not implant and feed normally.

Men should also take an active role: although the spouse will bear it, they will need to conceive a healthy baby together. Separate analyzes for men, in addition to all general and mandatory, are detailed studies of the seed.

The simplest and most common of them is the usual spermogram. With its help, the doctor will be able to judge how viable a man's spermatozoa are, as well as their other characteristics.

If these results are not enough, then they are sent for additional examinations: MAR test and Kruger morphology. The latest deeper and more detailed analyzes, which allows you to better understand the problem and find the best solution for it.

Each case is absolutely individual, and all risk factors can be excluded only after detailed examinations.

If any diseases, infections, or other problems are identified during this, you will need to undergo appropriate treatment, correction, or preventive therapy before attempting to conceive again.

Careful preparation and patience will allow you to keep a new long-awaited pregnancy.

To live on

However, it may happen that you do not find anything serious or requiring intervention.

As parents-to-be, you should take your health seriously:

• lead the right way of life
• follow the regime
• eat a nutritious and balanced diet,
• - the doctor will definitely prescribe them for you,
• quit bad habits, go in for sports, follow the doctor's instructions, etc.

Make sure you are emotionally ready to get pregnant again. To do this, you need to get rid of fears, stress, nervous shocks. Restore balance in your body and in no case do not let the process take its course.

After appropriate and proper preparation, you will definitely succeed, and the next pregnancy will end in a favorable outcome - the birth of a small miracle.