Complications & miscarriage

Getting Pregnant After Miscarriage: What You Need to Know

Assuming you feel emotionally ready, is it safe to start trying to get pregnant again on the very first cycle after a miscarriage? In most cases, the answer is yes.

You may be wondering whether there’s anything you need to do differently to avoid another miscarriage. Rest assured that most of the time, miscarriages aren’t caused by anything you did or didn’t do. Miscarriages—especially in very early pregnancy—are so common that many doctors consider them a normal part of the conception process. Around 25 percent of known pregnancies end in miscarriage, and when you take into consideration pregnancies that end before the woman is even aware she’s pregnant, that figure may be significantly higher.

The good news is that since you got pregnant once, odds are 80 percent that you will go on to have a healthy baby. Here’s everything you need to know about getting pregnant again after a miscarriage.

Do you need to wait three months after miscarriage before trying again?

Nope. It’s safe to try again right away—assuming your doctor doesn’t tell you otherwise, and you feel emotionally ready. Under normal circumstances, there is no increased risk of having another miscarriage when you conceive again right. And in fact, the odds of having another miscarriage are significantly lower for women who conceive within the first six months of the initial miscarriage.

Some doctors believe that levels of important vitamins including folate might be lower after a miscarriage, since this can be the case after a live birth. But this doesn’t apply to pregnancy loss since most miscarriages happen before 20 weeks.

Another reason doctors sometimes advise waiting to try to conceive until you’ve had a few cycles under your belt is that it makes it easier for them to calculate the due date (medically, the start of a pregnancy is counted from the first day of your last period). But if you’re tracking your fertility using Ava or any other method, then you’ll know when you ovulated and can share this information with your doctor.

One last note: if your miscarriage was due to a health problem, then it’s wise to address that issue before you start trying again.

Is it harder to get pregnant after a miscarriage?

After one miscarriage, your chances of conceiving and carrying a successful pregnancy are the same as anyone else’s. In fact, it might even be easier to get pregnant within the first three months after miscarriage. According to a recent study that followed over 1,000 women, nearly 70 percent of women who started trying immediately after a miscarriage conceived again within three months, as opposed to 51 percent of those who waited longer.

What are the odds of having another miscarriage?

Not high. Though miscarriages are very common, only one percent of women will have two or more miscarriages. After one miscarriage, your odds of having another are about the same as they were before: around 14 percent. After two miscarriages, the risk of another miscarriage increases to 26 percent. After three miscarriages, the risk increases to 28 percent.

When will you ovulate again?

You may have heard that some women experience long cycles after a miscarriage. If you start your CD1 on the first day you get a negative pregnancy test, it’s possible that you will ovulate around your usual time.

When you are pregnant, the pregnancy hormone hCG is elevated and it can take some time until this hormone level drops. HCG is the hormone that pregnancy tests detect and suppresses your normal ovulation process. Until it drops below 5 mIU/mL, your next cycle will not start.

Falling hCG levels don’t necessarily correlate with when you experience bleeding. You might bleed for a few days or weeks but still have relatively high levels of hCG in your system. You can consider your next cycle as starting when hCG levels are below 5 mIU/mL, confirmed either through a blood test or a home pregnancy test.


Lindsay Meisel

Lindsay Meisel is the Head of Content at Ava. She has over a decade of experience writing about science, technology, and health, with a focus on women's health and the menstrual cycle. Her work has been featured on The Fertility Hour, The Birth Hour, The Breakthrough Journal, and The Rumpus.

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