Miscarriages can happen anytime during the first twenty weeks of pregnancy, but most commonly occur within the first 12 weeks of pregnancy, with loss most frequently happening within the first six weeks. A biochemical pregnancy occurs when a woman tests positive for pregnancy with an hCG urine or blood test but there is no evidence of pregnancy on ultrasound. Many women may not realize that they have experienced a biochemical pregnancy as the period may arrive on time or a few days or more late, depending on how quickly the hCG and progesterone begin to decline.
With pregnancies that begin to develop in utero, the timing of loss can be highly variable. Some women will experience bleeding as the first sign of their loss (note: bleeding in pregnancy is common and does not necessarily indicate that a miscarriage will ensue). Others will experience a missed miscarriage, also known as a silent miscarriage when the pregnancy does not progress or the baby passes, but there is no indication of a problem, such as bleeding. While some women will naturally miscarry with spontaneous bleeding, others may require medication to induce a bleed or a surgery to remove what was inside the uterus associated with the pregnancy.
The Start of a New Cycle
The first cycle after loss is typically longer than usual. The follicular phase, or time between the start of the period and ovulation, is often prolonged as hormones regulate once again, while the bleeding itself can also last longer than typical. It is common for this first cycle to be 4-6 weeks in length, and can, more often, be anovulatory, or not successful for ovulation. After a loss, your health care provider can provide recommendations regarding when you can try to conceive once again. Some women are given the green light immediately, especially if the pregnancy loss was very early, such as a biochemical pregnancy, whereas others are advised to wait a certain duration of time or number of cycles.
Tracking your fertility with kegg
Perhaps the most important component to resuming your fertility journey is recognizing that you are in charge. If you decide you would like to take some time off from trying to conceive, the choice is yours! When and if you feel ready (and cleared by your doctor) to resume your efforts, you have the tools to help you see the fertile window and optimally time your efforts.