Ovulation After Miscarriage: Timeline for Trying Again

Experiencing a miscarriage can be an emotional and physical journey. However, this should not deter you from trying to get pregnant again when you feel ready.

Good news is that the majority of miscarriages occur as isolated events. Understanding the body’s return to normalcy is important when it comes to ovulation after pregnancy loss.

This article aims to guide you through the physical recovery process after a miscarriage, inform you about when ovulation can resume, and provide insights for those trying to conceive (TTC) again.

What is Miscarriage?

A miscarriage refers to the loss of a pregnancy before reaching the 20-week mark. Early pregnancy loss is more common than you might think.

However, the knowledge that you’re not alone provides little consolation in the face of such loss.

Importantly, experiencing a miscarriage does not predict your future chances of having a successful pregnancy.

What Causes Miscarriage?

An illustration of a woman in a hopeful pose, standing in a serene, natural setting with a sunrise in the background, symbolizing new beginnings.

Various factors can lead to a miscarriage:

Genetic disorders constitute to roughly 50% of miscarriages — these are unfortunately beyond our control.

Chromosomal issues play a crucial role in the early stages of fetal development. If an embryo has an atypical number of chromosomes, it may struggle to develop normally, leading to a miscarriage.

Preventing an early miscarriage is often beyond one’s control, as the majority of these losses are due to genetic abnormalities or congenital anomalies in the fetus, hindering its proper development.

These genetic issues are generally not inherited from the parents but arise from spontaneous mutations during the embryo’s early growth phase. Nonetheless, reducing the risk of certain birth defects is possible by eliminating smoking and alcohol consumption from the moment you decide to try for a pregnancy.

Age Factor: As we age, the likelihood of chromosomal issues increases, making miscarriage more common among older expectant individuals.

Certain lifestyle choices, such as smoking or excessive caffeine intake, can elevate the risk.

Certain health conditions can also increase the risk of miscarriage. For instance:

  • Poorly Controlled Diabetes or high blood sugar levels, especially when not managed efficiently before and during pregnancy, pose a risk.
  • Uterine abnormalities or diseases of the womb can create environments that are less hospitable for a developing embryo.
  • Infections
  • Autoimmune disorders
  • Hormonal imbalances

Miscarriage Statistics: While some miscarriages happen in the later stages of a pregnancy, they predominantly occur early on. Approximately 10% to 15% of recognized pregnancies end in an early pregnancy loss. This number is likely to be higher as many miscarriages take place before pregnancy is even detected.

Our odds of experiencing another miscarriage after the first one generally stand at about 20%. This percentage can rise slightly with multiple miscarriages.

Healthy Lifestyle Choices: Although some miscarriages are out of our control, pursuing healthy lifestyle choices can set the stage for a healthier pregnancy. Taking prenatal vitamins, reaching a healthy weight, and avoiding alcohol are a few ways to create a supportive environment for pregnancy.

How Miscarriage Affects Ovulation

When you have a miscarriage, it resets your menstrual cycle, which in turn affects ovulation. For many women, getting to know their cycle and the signs of ovulation can guide them when they are ready to conceive again.

Bleeding After Miscarriage

While bleeding can indicate a miscarriage, it’s not a definitive sign. The duration of bleeding post-miscarriage varies widely. Some women may bleed for up to two weeks following a miscarriage. Should the bleeding persist for more than two weeks, it is advisable to consult a healthcare provider.

The bleeding is a sign that your body is processing the miscarriage and expelling pregnancy-related tissues. You can consider the first day of bleeding as the starting point for counting your menstrual cycle.

After this initial bleeding, ovulation can happen approximately two weeks into the cycle, but this varies for each individual.

Regular Menstruation After Miscarriage

Your first period after a miscarriage usually happens within 4-6 weeks. However, it might take several months for cycles to become regular.

Ovulation typically happens around the 14th day of the cycle, and you are most fertile in the days just before and after ovulation.

If you had irregular periods prior to pregnancy, you may find that your irregularities persist post-miscarriage.

Detecting when you ovulate can involve looking for bodily signs such as changes in vaginal discharge and other symptoms like breast tenderness or abdominal cramping.

Nevertheless, tracking basal body temperature (BBT) and measuring LH levels can provide a more accurate prediction of your fertile window.

Keeping a check on BBT involves noting a slight rise in your temperature during ovulation.

To chart this effectively, you should use a basal body thermometer each morning before getting out of bed. Some smart thermometers can even connect to apps that help track your cycles.

And for confirming ovulation with even more precision, LH tests can signal when you’re about to ovulate since LH surges before an egg is released.

Ovulation predictor kits include sticks that you dip into your urine to determine when ovulation is near. The Food and Drug Administration notes that when used correctly, these kits can identify the LH surge, which signals ovulation, with a 90% accuracy rate.

How Soon Can You Ovulate After a Miscarriage?

After a miscarriage, it’s common to wonder about the return of normal reproductive functions. Understandably, questions about timing for ovulation and when to try conceiving again are top priority for many.

Firstly, ovulation can resume as quickly as two weeks after a pregnancy loss, but the exact timing varies for each individual.

The body needs time for the hormone levels to return to their pre-pregnancy state. If the bleeding from the miscarriage stops within a week, this is a possible early indicator that your body is recovering.

It’s important to keep in mind that while the physical process of recovering can be quick, tracking and predicting ovulation may be challenging initially.

For those who had irregular periods before pregnancy, this may continue post-miscarriage. However, most women experience a return of their menstrual cycle within four to six weeks after a miscarriage.

To map out ovulation, Day 1 is marked by the first day of bleeding from the miscarriage.

While cycles can take time to stabilize, maintaining a record can provide clarity. In case of pregnancy loss occurring in the late first or second trimester, expect spotting and bleeding to potentially last up to four weeks.

Tracking ovulation involves noticing:

  • The presence of clear, stretchy vaginal mucus.
  • A slight increase in basal body temperature.
  • Positive results on an ovulation predictor kit.

These kits are adept at detecting the luteinizing hormone surge, which signals ovulation.

While the World Health Organization suggests a six-month interval to decrease risks such as maternal anemia and preterm birth, recent studies indicate no need to delay.

In fact, some findings point to enhanced outcomes for pregnancies occurring within six months post-miscarriage.

For accuracy in determining due dates, consider waiting until after the first menstrual cycle to conceive.

If challenges in conceiving arise or if there are any complications like heavy bleeding or repeated miscarriages, it’s wise to consult with a healthcare provider.

How Soon Can You Get Pregnant After a Miscarriage?

A woman walking through a tranquil garden path, symbolizing the healing journey after miscarriage. The image should convey a sense of peace and renewal, with soft pastel colors like light greens, pinks, and blues, representing the serenity of nature and the path to recovery.

Ovulation after a miscarriage varies between individuals. Typically, you might ovulate as early as two weeks post-miscarriage. However, it’s not uncommon for it to take 4-8 weeks for your menstrual cycle to normalize.

Understanding Your Cycle

During recovery, your body undergoes hormonal adjustments as it returns to its regular cycle. You may notice signs indicating your fertility is returning:

  • A surge in luteinizing hormone (LH) hints at imminent ovulation. You can use an OPK to determine this surge.
  • A subtle dip in basal body temperature before ovulation signals your most fertile period. Regular temperature monitoring each morning can help track this change.
  • Some women experience pain or cramping, known as mittelschmerz, signaling ovulation is occurring.

When to Try Again

While many doctors advise waiting three to six months to conceive after a miscarriage, studies have shown it may not be necessary to wait that long. Women conceiving within three months post-miscarriage had similar, if not better, outcomes compared to those who waited longer.

Increase Pregnancy Chances

Focusing on a healthy lifestyle, such as eating well and abstaining from harmful substances, might aid in readiness for future pregnancy. Although most miscarriages are uncontrollable, leading a healthy life can assist the body in preparing for a subsequent, healthy pregnancy.

Finding Support

It’s crucial to address any emotional distress following a miscarriage. Seeking support from a mental health professional can help manage stress as you look toward future pregnancy.

Recognizing Signs of Ovulation

Two people holding hands in a peaceful outdoor setting, symbolizing support and comfort in the context of miscarriage recovery. The scene should use soft pastel colors to create a soothing atmosphere, with elements like gentle sunlight and surrounding nature, conveying a sense of companionship and understanding.

After a miscarriage, it’s important to understand your body’s signals for the return of ovulation. Here’s how you can detect these signs and better plan for conception.

Surge in Luteinizing Hormone (LH)

Our bodies experience a significant rise in luteinizing hormone typically 10-12 hours before ovulation. This surge indicates that your most fertile period is imminent. To detect this surge, you can use ovulation prediction kits which measure LH levels in urine, giving a clear indication of the best time to conceive.

Change in Basal Body Temperature

Observing our basal body temperature (BBT) can signal when ovulation has occurred. There’s a notable decline in temperature right before the ovulation occurs followed by a gradual rise immediately afterwards. You can track BBT each morning as soon as you wake up and plot the readings on a chart to identify the pattern over time.

Pain or Cramping

Experiencing pain or cramping, known as mittelschmerz, on one side of our lower abdomen indicates the ovary is releasing an egg. This temporary pain coincides with ovulation and can be a natural indicator that you fertile window is open.

Other Symptoms

You may observe several other ovulation signs, such as cervical mucus becoming clearer and more stretchy, resembling egg whites. Increased libido, light spotting, and even breast tenderness can accompany the release of an egg.

Being aware of these changes can help pinpoint and predict ovulation. For more detailed information on recognizing ovulation signs, the NHS provides valuable insights.

When to See a Doctor About Fertility

A woman sits in a doctor's office, discussing fertility and ovulation after a miscarriage. The doctor listens attentively, offering reassurance and guidance

After experiencing a miscarriage, many have questions about fertility and concerns about the right time to seek advice from a healthcare provider.

Recognizing When to Reach Out

  1. Age Considerations:
    • If you’re under 35 and haven’t conceived after a year of trying, it’s a good idea to consult a doctor.
    • For those over 35, consider reaching out after six months of trying.
  2. Pre-existing Fertility Concerns
    • Health issues such as diabetes, autoimmune diseases, genetic anomalies, and specific thyroid issues can increase the chances of a miscarriage.
    • Additionally, women diagnosed with polycystic ovarian syndrome face a heightened risk of experiencing such outcomes.

Monitoring Your Cycle

  • Keep track of your menstrual cycle following a miscarriage. If your period doesn’t resume within 4 to 6 weeks or remains irregular, it might be time to seek advice.

Health After Miscarriage

  • Contact a healthcare provider if you experience heavy bleeding, a fever, or signs of infection post-miscarriage.
  • If you’ve experienced multiple miscarriages, it may be helpful to undergo evaluation for potential genetic disorders or other factors.

Lifestyle Factors

  • It’s important to consider certain lifestyle choices that can impact fertility. Talk to your doctor about how to maintain a healthy weight, a balanced diet, and strategies for reducing stress.

Emotional Support

  • Your emotional wellbeing is just as important as your physical health. If you’re struggling to cope after a loss, you might find solace and support by discussing it with a health professional or joining a support group.

How to Increase Your Odds of Getting Pregnant After a Miscarriage

After enduring the hardship of a miscarriage, you may feel a mix of emotions when considering trying to conceive again. While emotional recovery is vital after an early miscarriage, understanding how to physically prepare your body for a healthy pregnancy is equally important.

Your readiness to conceive involves the wondrous interplay of hormones within your menstrual cycle, and tracking this can strengthen your chance of becoming pregnant. Nonetheless, adopting certain strategies can enhance your likelihood of conceiving post-miscarriage, helping to circumvent any adverse pregnancy outcomes.

Observing the Menstrual Cycle


Following a miscarriage, your menstrual cycle could be erratic. Over time, it settles back into a routine, often resuming anywhere from two to eight weeks post-miscarriage. This regularity lays down the red carpet for ovulation. Learning more about menstruation helps us recognize the different stages in your cycle and identify the prime time to conceive.

Monitoring Basal Body Temperature (BBT)


Charting BBT can be a powerful tool. Before ovulation, you might notice a slight dip in temperature followed by a rise after ovulation—a reliable indicator that you’ve entered the fertile window. Consistent daily tracking upon waking up gives a personal temperature blueprint for spotting that post-ovulation rise, hinting it’s the optimal time for conception.

  • Take your temperature every morning at the same time.
  • Keep records to discern the pattern.
  • Look for the telltale temperature shift.

Healthy Lifestyle Choices


Maintaining a balanced diet, regular exercise, and avoiding toxins like tobacco and alcohol set a solid foundation for a healthy pregnancy. Prenatal vitamins, especially those containing folic acid, are your allies in preparing for a future pregnancy.

Emotional Readiness


You must acknowledge and process the emotional toll of miscarriage. Support from a professional or a shared discussion among friends or support groups can play an integral role in healing.

Ovulation After Miscarriage FAQs

When you experience a miscarriage, you often have many questions about what comes next, particularly regarding ovulation and future pregnancies. We’ve gathered some common questions and provided concise answers to help you understand the path to recovery and conception.

How Likely Is Another Miscarriage?

The likelihood of experiencing another miscarriage after one loss is generally low. Most women will go on to have a successful pregnancy after a miscarriage. The majority of women who experience more than one miscarriage still manage to have healthy pregnancies afterwards. However, the risk can increase if you’ve had multiple miscarriages, a condition known as recurrent pregnancy loss. Despite this, many couples with a history of repeated miscarriages will still have a successful pregnancy.

What Happens If You Miscarry Again?

If we experience another miscarriage, it’s important to undergo further medical evaluation to determine any underlying causes. Recurrent losses may be a sign of genetic issues, structural abnormalities, or other health concerns that may need to be addressed before trying to conceive again.

In circumstances such as a molar pregnancy or ectopic pregnancy, a patient may be advised to wait a little bit longer before trying to get pregnant. Many doctors advise waiting until you have had at least one period after your miscarriage before trying again, as this makes it easier to calculate the dates of the next pregnancy.

Are You More Fertile After a Miscarriage?

There’s a common belief that fertility increases after a miscarriage. Recent studies suggest that some women who conceive shortly after a miscarriage may indeed have better outcomes. However, fertility varies greatly among individuals, and it’s key to monitor your hormone levels and overall health with a healthcare provider.

What Are Your Chances of Getting Pregnant After a Miscarriage?

Your chances of getting pregnant after a miscarriage are generally good. The majority of women will ovulate within two to four weeks after a miscarriage, and pregnancy may occur if you are having intercourse during the fertile window.

Following a miscarriage, many women worry about their ovulation cycle and future conception. Your body is resilient and often restores ovulation swiftly—sometimes within two weeks after the loss. This restoration is pivotal for those eager to conceive again.

Also, certain studies suggest that your chances of having a healthy baby may increase if you conceive shortly after a miscarriage.

How to Track Hormones After a Miscarriage?

To track your recovery and return to ovulation after miscarriage, you can monitor your BBT, recognize pain associated with ovulation, and watch for changes in cervical mucus. Ovulation prediction kits are also useful tools to determine when you’re entering our fertile window and ready to conceive.

Takeaway

Following a miscarriage, your menstrual cycle starts anew. You typically have your first period within 4-6 weeks. You become most fertile during the 3-5 days before you ovulate and lasting for about 1-2 days after. Ovulation could happen around 2 weeks into the new cycle.

Both, early pregnancy loss and later pregnancy losses can affect the predictability of your cycles. Individual health circumstances can also have an effect.

To identify the signs of ovulation, you can monitor your BBT or check for the surge of luteinizing hormone (LH). Your BBT rises slightly during ovulation. Tracking it over time helps in anticipating when you’re ovulating.

For LH, using ovulation predictor kits can signal the release of an egg from our ovaries.

Deciding when to try to conceive after a miscarriage is a personal choice. The World Health Organization does suggest waiting at least 6 months after a pregnancy loss to reduce certain health risks. Yet, becoming pregnant within 6 months might actually decrease the likelihood of another miscarriage.

On a reassuring note, having multiple miscarriages is quite rare. Many women who experience repeated miscarriages will still have a successful pregnancy.

Remember, every woman’s experience with fertility post-miscarriage is unique. It’s beneficial to speak with your doctor regarding any concerns. They can also provide advice tailored to your specific situation.

References:

MayoClinic Staff. (2016). Pregnancy after miscarriage: What you need to know.
https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/pregnancy-after-miscarriage/art-20044134

MayoClinic Staff. (2018). Basal body temperature for natural family planning.
https://www.mayoclinic.org/tests-procedures/basal-body-temperature/about/pac-20393026

Ovulation(urine test). (2018).
https://www.fda.gov/medicaldevices/productsandmedicalprocedures/invitrodiagnostics/homeusetests/ucm126065.htm

Earlypregnancy loss. (2017).
https://www.acog.org/Clinical-Guidance-and-Publications/Practice-Bulletins/Committee-on-Practice-Bulletins-Gynecology/Early-Pregnancy-Loss

Ican’t get pregnant after a miscarriage – am I normal? (2017).
https://healthcare.utah.edu/the-scope/shows.php?shows=0_breococ4

Whenwill my periods return after a miscarriage? (2018).
https://www.nhs.uk/common-health-questions/pregnancy/when-will-my-periods-return-after-a-miscarriage/

Interpregnancy interval following miscarriage and adverse pregnancy outcomes: systematic review and meta-analysis. Human Reproduction Update, Volume 23, Issue 2, March-April 2017, Pages 221–231, https://doi.org/10.1093/humupd/dmw043

Frequently asked questions. Pregnancy FAQ100. Repeated miscarriages. American College of Obstetricians and Gynecologists. https://www.acog.org/womens-health/faqs/repeated-miscarriages. Accessed Sept. 5, 2023.