A miscarriage, defined as the loss of a pregnancy before the 20th week, can be a deeply emotional experience. The grief that follows often raises questions about whether it will be possible to conceive again. The impact of a miscarriage on future fertility depends on the type and timing of the miscarriage.
Miscarriage
Unfortunately, miscarriages are relatively common, especially in the early weeks of pregnancy. Most are caused by genetic or chromosomal abnormalities that prevent the embryo from developing properly. As a woman ages, the quality of her eggs (oocytes) declines, which increases the risk of miscarriage.
The earlier the miscarriage occurs, the less impact it typically has on future fertility. Early miscarriages are often naturally expelled from the body through bleeding and clotting. However, if the loss happens later in pregnancy, a procedure called curettage may be necessary. Curettage involves surgically scraping the walls of the uterus to remove any remaining embryonic tissue. If not performed correctly, it can affect the uterine lining, potentially complicating future fertility.
Voluntary or Induced Abortion
An induced abortion or voluntary termination of pregnancy can be performed using medication in the early stages of pregnancy. After the second month, however, instrumental methods are required, such as aspiration (up to 14 weeks of gestation) or curettage. As with miscarriages, improper curettage can impact the uterus and fertility.
Recurrent Miscarriages
Having a single miscarriage does not necessarily indicate fertility issues. However, recurrent miscarriages — defined as three or more consecutive losses — may suggest underlying conditions such as genetic abnormalities, immune system disorders, or uterine malformations. These factors can reduce the chances of carrying a pregnancy to term if not properly diagnosed and treated.
Seeking Pregnancy After a Miscarriage
Most miscarriages do not have a lasting impact on fertility, and the decision to try for another pregnancy depends largely on a woman’s emotional readiness. While the World Health Organization (WHO) recommends waiting up to six months before trying to conceive again, many doctors suggest waiting only a few menstrual cycles. This allows time to ensure that the uterus is functioning properly and that the endometrium is forming correctly to support an embryo.
If you’ve experienced a miscarriage and have questions about trying to conceive again, feel free to contact Nicosia Fertility. We are here to support you on your journey to parenthood!
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