A miscarriage often brings sadness, confusion, and anxiety, especially when the pregnancy was desired. These emotions are normal. It is also natural to wonder: “When is the right time to try again?” or “What are the chances of another miscarriage?”. Here is what you should know to prepare for a healthy future pregnancy.
A miscarriage is defined as the spontaneous loss of a pregnancy before 20 weeks. Most occur because the fetus does not develop normally, and approximately 50% are associated with chromosomal abnormalities. These are more common with advancing maternal age, especially after 35. Other causes may include poorly controlled diabetes or uterine abnormalities. In many cases, the exact cause remains unknown.
Between 8% and 20% of known pregnancies end in miscarriage, though the real number may be higher. In most cases, miscarriage is a single event, and future pregnancies are successful. Only around 1% of women experience recurrent miscarriages. After one miscarriage, the risk of another is about 20%, increasing with each additional loss.
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Both partners may experience grief, anxiety, and guilt. Emotional recovery is essential and should not be rushed.
Sexual intercourse should be avoided for two weeks after a miscarriage to prevent infection, but ovulation—and therefore pregnancy—may occur soon after. Once pregnancy is confirmed, early monitoring is recommended.
After two or more consecutive miscarriages, further evaluation is needed: hormonal tests, immune system assessment, genetic testing for both partners, ultrasound, hysteroscopy, hysterosalpingography, or sonohysterography.
Even when the cause is not found, reproductive medicine offers multiple solutions, including assisted reproductive technologies.
Although miscarriage cannot always be prevented, lifestyle choices can help reduce risk: healthy diet, eliminating smoking and alcohol, and taking prenatal vitamins or folic acid before conception.
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Preparing for Pregnancy After a Miscarriage
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