When do hormones return to normal after a miscarriage, the increase in the pregnancy hormone after a miscarriage, the effect of miscarriage on the menstrual cycle, and when does the period come after the decrease in the pregnancy hormone, this is what we will learn about below. Through the Dalili Medical website

How long does the cycle last after a miscarriage?....

The menstrual cycle usually lasts for 4-7 days, but it can last longer if you miscarry during the second trimester of pregnancy; due to hormonal changes.

When does pregnancy occur after a miscarriage?....

Ovulation and pregnancy can occur only two weeks after a miscarriage, but the doctor usually advises waiting at least 3 months before trying to conceive again; for your body to recover and regain its health.

Does a miscarriage in the fourth month require cleaning?....

There is no general rule about the cases in which a woman needs to clean the uterus after a miscarriage, and this depends on the ability of the uterus to clean itself naturally, or the high risk of infection with some types of infection, or the presence of tissues from the pregnancy in the uterus that cause bleeding, and some cases may not need to clean the uterus after a miscarriage even in the advanced stages of pregnancy.

How do I know that the uterus is clean from the remains of the abortion? ....

The cleanliness of the uterus after the abortion can be confirmed by doing an ultrasound or sonar

Is it necessary to clean the uterus after the abortion? ....

If the uterus cleans itself naturally, there is no need to do so, and you should wait, but if symptoms appear such as severe uterine bleeding, or the appearance of a bad smell or feeling severe pain in the lower abdomen with a high body temperature, you should go to a specialist doctor immediately, as he may resort to performing a curettage or curettage to clean the uterus.

Types of abortion....

It is the condition in which the pregnancy ends and the fetus is lost in the mother's womb. Miscarriage is common among pregnant women. Sometimes the miscarriage occurs suddenly and sometimes it is preceded by the appearance of some symptoms. There are many types of miscarriage, including:

Early miscarriage

It occurs before the end of the first three months of pregnancy

Late miscarriage

It occurs after completing the first three months and until the fifth month of pregnancy

Threatened miscarriage

It is accompanied by heavy blood flow from the vagina, with the fetus's condition stabilizing, and it is preferable to provide complete rest for the mother in this case

Inevitable miscarriage

It occurs with contractions and expansions of the uterus that cause bleeding and ends with the loss of the fetus and its exit from the uterus

Incomplete miscarriage

It is the exit of parts of the pregnancy outside the uterus with other parts remaining inside it, and here the intervention of a specialist doctor is required

Forgotten miscarriage

It is the loss of the fetus and its death inside the uterus, and medical intervention is performed to remove the fetus

Complete miscarriage

It is the exit of all pregnancy tissues from the uterus with heavy bleeding

Miscarriage Recurrent

The mother has had more than one miscarriage in a row

When can you have sex after a miscarriage? .....

After a miscarriage, you can return to sexual activity as soon as you feel ready, but your health care provider may advise you to wait before resuming sexual activity, as there is a very small risk of infection. Medical abortion may also cause menstrual-like bleeding for up to 4 weeks after the miscarriage. It is normal for the blood to stop and start coming back several times, so it is preferable to postpone sex until the bleeding stops.

You can use birth control if you do not want to get pregnant, as you may be in your fertile period immediately after the miscarriage.

What is the difference between a miscarriage and a period? ....

Since miscarriage and menstruation have common symptoms, it can be very difficult to tell the difference between the two on your own. However, here are some possible differences between the two:

Different bleeding pattern: Most women have consistent menstrual cycles that last about the same length and are similar in terms of flow intensity, but the bleeding pattern from a miscarriage is likely to be different from what a woman is used to during her monthly period.

Severity of cramps: A miscarriage may cause cramps that are more severe than a period, however, some women experience severe cramps during their period as well, and the further along in your pregnancy you are, the more severe the cramps from a miscarriage may be.

Heavy flow: During your period, it may be normal to pass some clotted blood, but if you pass clots larger than a quarter of the amount of blood, you should see a health care provider, as this is considered heavy bleeding.

Women who have a miscarriage may pass larger clots that are the size of a lemon. If your bleeding is heavy enough to consume two pads in an hour, you should seek immediate medical attention, regardless of the suspected cause.

When can you plan to get pregnant again after a miscarriage?...

Most women who have had a miscarriage go on to have a successful pregnancy, so ask your doctor how long you should wait before trying to get pregnant again. Some doctors recommend waiting until you have had one or three normal menstrual cycles. Also, make sure you are emotionally and psychologically ready to get pregnant again.

Does miscarriage affect getting pregnant again?...

There is some evidence that fertility may be higher in the first few months after a miscarriage. For example, a study from the National Institutes of Health published in the journal Obstetrics and Gynecology, which included more than 1,000 women, found that 69% of them became pregnant within three months of the miscarriage, compared to 51% of those who became pregnant after waiting longer.

What Happens to the Body After a Miscarriage?...

Every woman's body reacts differently to the loss of a pregnancy, so there is no single set of miscarriage symptoms that all women may experience.

Here are the most common signs and symptoms after a miscarriage:...

Cramping and Bleeding

Bleeding and increased cramping after a miscarriage are common. Women experience some cramping and bleeding after a miscarriage, as the uterus contracts to expel the blood and tissue it was holding.It has.

Infections

After a miscarriage, a woman may suffer from vaginal discharge and pelvic pain due to the dilation and curettage surgery to remove the remains of fetal tissue from the uterus to prevent bacterial infection from the vagina to the uterus. It is necessary to see a doctor to treat this symptom.

Hormonal changes

The pregnancy hormone remains in the blood for two months after the miscarriage and its levels do not reach zero until the placental tissue is completely separated, and it takes a long time for its levels to return to low levels, as the hormone is at its peak during pregnancy and causes symptoms such as vomiting, nausea and breast enlargement.

As hormone levels decrease after the miscarriage, pregnancy symptoms begin to recede, affecting the body and leading to fatigue, exhaustion and insomnia, and greatly affecting feelings and can reach the point of depression.

Symptoms of hormonal imbalance after miscarriage....

1- The first results indicated a decrease in the effectiveness of the pituitary gland; that is, the pituitary gland becomes unable to perform its usual functions to the fullest extent with a decrease in luteinizing hormone levels. At the same time, a decrease in the levels of the follicle-stimulating hormone, or what is called the follicle-stimulating hormone, is observed. In fact, the pituitary gland secretes the follicle-stimulating hormone, which contributes to the growth of eggs by stimulating the follicles in the ovaries; which leads to the secretion of the hormone Estrogen in the follicles, it is worth noting that the high level of estrogen gives the pituitary gland a signal to stop secreting the follicle-stimulating hormone, and start secreting the luteinizing hormone, which in turn helps in the ovulation process, and the secretion of the progesterone hormone, which is necessary for the completion of pregnancy.

2- Weak bones The occurrence of weak bones is associated with a decrease in the level of estrogen that may occur after a miscarriage. In this case, it is necessary to change lifestyles, adhere to a healthy, integrated diet, and be sure to eat foods that contain vitamin D and calcium, with the necessity of exercising.

3- Headaches and difficulties during sleep, for example, insomnia. Both progesterone and estrogen help in getting sleep, but if they decrease, the woman becomes unable to get enough sleep. It is worth noting that a decrease in estrogen may stimulate sweating at night during sleep, feeling tired, and losing energy and vitality.

4- Hormonal imbalance Hormones in the body are disturbed after a miscarriage, a woman may feel depressed, sad or even very calm, thanks to hormones, these hormones are responsible for nausea, headaches and other symptoms of pregnancy, so hormones should be allowed to flow naturally to get rid of these symptoms.

5 Abdominal pain and cramps: When the body begins to get rid of the walls of the uterus, the uterus begins to return to its normal size, which increases cramps similar to menstrual cramps on the third or fourth day, and clots can be observed in the secretions, which means that the abortion process was successful, but a doctor should be consulted in the case of heavy bleeding or large clots.

6- Infection: Infection is a common effect after a miscarriage

This is because the cervix is ​​open during the procedure and remains so for two weeks, which increases the chances of infection, the doctor prescribes a dose of antibiotics after the abortion to avoid this condition.

7- Pelvic damage: The pelvis changes to accommodate the pregnancy, and this sometimes leads to tissue damage, and can even cause minor fractures, which may take a long time to heal, this serious condition may lead to complications that put the future of the pregnancy at risk.

8- Bleeding: Bleeding or what happens when performing an abortion, but the amount of bleeding depends on the stage of pregnancy, if it is in the first weeks, the bleeding is low, and the pills prescribed by the doctor work to prevent the production of progesterone in the body, which the body cannot complete the pregnancy without, and the uterus begins to break down.

9- Damage to the walls of the uterus: The tools used during the abortion procedure can cause damage to the walls of the uterus, and the resulting bleeding can be fatal, and the uterus needs to heal completely before starting a new menstrual cycle, but a skilled doctor can perform the abortion without causing damage to the tissues of the walls of the uterus.

When does the period come after a miscarriage?...

Your period usually comes after 4-6 weeks after the miscarriage, especially if you miscarried in the first months of pregnancy, but sometimes your period can be delayed due to: Miscarriage late in pregnancy: It is normal for your period to be delayed if you miscarried in the second or third trimester of pregnancy; because the pregnancy hormone will take longer to return to its normal level in this case.

Partial miscarriage: Sometimes part of the placenta remains attached to the uterus after the miscarriage, so your period will not return to normal in this case, and therefore the doctor prescribes medications or resorts to a cleaning (scraping) procedure to remove this tissue.

Irregular menstrual cycle: It is expected that your period will be delayed if it was originally irregular before pregnancy.

The effect of abortion on the menstrual cycle....

Abortion can affect a woman's menstrual cycle, due to some reasons, which are:

1. Taking contraceptives

Some contraceptives that a woman takes after an abortion cause menstrual disorders, so it is recommended to consult a doctor about the best method of contraception during this stage.

2. Feeling stressed and sad

A woman's feeling of sadness and distress after an abortion affects her psychological state and thus the regularity of her menstrual cycle, and it may be delayed and not come on time, or occur more than once a month.

3. Abortion bleeding

When abortion bleeding occurs, the uterus empties completely, and thus the amount of tissue that is disposed of during the menstrual cycle decreases, and the menstrual cycle becomes Short and light than usual.

In the case of medical abortion, the first period may be longer than normal, because the treatment depends on hormones that affect the length of the menstrual cycle.

It can also be heavy; due to the presence of additional tissue in the lining of the uterus and the body expels it.

When does the period come after the pregnancy hormone decreases....

The cycle usually returns to normal after the pregnancy hormone decreases completely and returns to zero, i.e. after getting rid of the pregnancy tissue from the uterus, which usually occurs after 4-6 weeks after the miscarriage, or 6-8 weeks after giving birth, and in some cases it may take a longer period.

As for the regularity of the menstrual cycle again, this depends on the regularity of your menstrual cycle previously; If it is regular, it will return to what it was, but if it is irregular, it will not be regular again after a miscarriage or childbirth, and I advise you to visit a specialist doctor to determine ways to help regulate it.

When do hormones return to normal after a miscarriage....

-The pregnancy hormone is produced by the placenta during pregnancy, and this hormone rises during the early stages of pregnancy, as it doubles every two to three days during the first four weeks of pregnancy to reach its peak between the 8th and 11th week of pregnancy.

-In the case of a miscarriage, the level of the pregnancy hormone begins to gradually decrease until it eventually reaches its normal level before pregnancy. The period that the pregnancy hormone needs to reach pre-pregnancy levels ranges from 4-6 weeks, as this period varies from one woman to another and depends on the nature of the miscarriage that occurred and the level of the last pregnancy hormone before the miscarriage occurred. Therefore, the level of the pregnancy hormone is expected to decline to its pre-pregnancy level more quickly in women who have had a miscarriage very early in pregnancy.

-To make sure that the pregnancy hormone has returned to its pre-pregnancy level, a woman can ask her doctor about having a blood test two months after the loss of pregnancy

How do I strengthen my body after a miscarriage? ....

In the days immediately following a miscarriage, you may feel tired and exhausted.

Physical care after a miscarriage ....

Cranial pain similar to menstrual cramps is common; you should have a close friend or family member take you home after the procedure, and you may want to take time off work for the next day or two to ensure that you get plenty of rest, and you should avoid doing emotionally or physically stressful activities.

After a miscarriage, the cervix takes some time to close, leaving the person at increased risk of infection. To reduce the possibility of infection, you should avoid the following for two weeks:

Using tampons or menstrual wicks.

Having sex.

Putting anything in the vagina.

Going into a swimming pool.

It is also important to take care of yourself after this procedure, and although the procedure is completed in a short time, it may take several days or weeks to recover from it physically, so try to do the following:

Massage your stomach and lower back and use warm compresses on the area.

Take over-the-counter pain relievers such as ibuprofen and acetaminophen.

Attend follow-up and follow-up appointments with your doctor.

Emotional care after a miscarriage

A miscarriage can be an emotionally difficult experience, and hormonal changes make this worse after the procedure, which can cause mood swings. Your estrogen and progesterone levels gradually decrease, which can cause a decrease in mood and mood swings, and as your menstrual cycle returns, your hormones stabilize.

Some women also experience emotional crises and changes, as there is a link between miscarriage and higher rates of depression, anxiety, sleep disorders, and other mental health conditions. In addition, women with a history of mental health disorders are more susceptible to these effects.

You should take adequate time off work, talk to family and friends, and contact your doctor if you are experiencing mental health issues or severe emotional swings that you cannot control.

When do hormones return to normal after a miscarriage?...

With pregnancy, estrogen and progesterone levels rise significantly, and the levels of hormones and the changes that accompany them depend on the length of the pregnancy, but when the placenta is removed, this will lead to a sudden drop in hormones, just as the placenta is removed from the body after labor and delivery. However, remember that all it takes is time for hormones to return to normal after a miscarriage, and for your body to adapt and regain its balance, and it may take 4-8 weeks.

How is miscarriage detected?....

Miscarriage is detected through a gynecological examination or ultrasound scan

What medications are used after miscarriage?...

The medications that a woman can take after a miscarriage vary, including:

1- Antibiotics

To avoid any infection after the miscarriage, such as:

Doxycycline, an antibacterial drug

Azithromycin, used to treat bacterial infections of the reproductive system

Possible side effects

Nausea.

Diarrhea.

Vomiting.

Stomach pain.

Headache.

Flagyl

Works to prevent the growth of bacteria and parasites and treat them

Side effects

Feeling dizzy, headache, or nausea.

Loss of appetite, diarrhea, or constipation.

Feeling a metallic taste in the mouth.

Painkillers such as paracetamol, ibuprofen, and others.

Birth control pills

This is to give the uterus a period of time to recover after the abortion, as it is possible for many women to become pregnant after the abortion, and thus the uterus is strained

Medications to clean the uterus after the abortion...

There are some medications in the form of pills, and their composition depends on the synthetic prostaglandin substance that is effective in cases of abortionD, and it is taken orally or vaginally, and the method of taking it is determined by the attending physician

Its benefit

It helps to contract and relax the muscles of the uterus, which increases the blood flow to the cervix, and then the separation of the pregnancy tissues as well as the placenta and getting rid of any remnants of the pregnancy inside the uterus

Side effects

Increased bleeding through the vagina

Feeling pain and cramps

Diarrhea, vomiting, nausea, dehydration, thirst

Discharge with an undesirable odor

Lack of desire to urinate

In all cases, you should consult your attending physician

Methods of cleaning the uterus after a miscarriage

1- Suppositories to clean the uterus

It is considered one of the methods for cleaning the uterus after a miscarriage in the first month, and it must be under medical supervision, including:

Flagyl Vag Ovules Suppositories

Known by the scientific name Metronidazole
It is characterized by its ability to eliminate parasites and bacteria inside the uterus

Betadine Suppositories

It works on Cleansing the uterus from bacteria and fungi and cleaning the uterus from any residue inside it

Tioconazole suppositories

Works to protect the vagina from bacteria and fungi and cleans the uterus from any residue inside it

Boquin suppositories

It is considered an anti-parasitic and anti-bacterial that infects the vagina and uterus, and works as a sterilizer for the vaginal canal, especially after childbirth

Suppositories

It is characterized by its ability to eliminate infections that affect the uterus as well as fungi and infections that affect the vaginal area and the vulva area, which is known as (vaginal candidiasis infection)

Canesten suppositories

Very useful in treating many vaginal diseases such as vaginal candidiasis, tinea versicolor, vaginal yeast, which results in irritation and a feeling of itching with the discharge of secretions

Polygynax suppositories

Helps in treating infections resulting from the presence of fungi due to infection

Albothel suppositories

Effective in treating vaginitis, cervical ulceration, and works to remove existing residues In the uterus

Pevagine suppositories

It has a great ability to clean the uterus and vagina, and treat candida infections in the vulva or vaginal area

2- Cleaning the uterus after a miscarriage at home...

It is possible to clean the uterus after a miscarriage in natural ways by drinking natural herbal drinks such as:

Angel herb to clean the uterus after a miscarriage

It is considered one of the best herbs for cleaning the uterus after a miscarriage as it works to relieve pain and cramps associated with miscarriage, increase blood flow, and improve the nervous system, which works to increase the feeling of comfort and relaxation in addition to improving the immune system

Black snake herb or black cohosh

Which works to relax the muscles in the uterus and relieve cramps and pain, as it is an anti-inflammatory herb, and also helps in contracting the pelvic floor muscles, which speeds up the process of getting rid of blood and remaining pregnancy tissue in the uterus

Yarrow herb

As it works to increase blood flow to the pelvic area, and enhance the health and recovery of damaged tissues of the uterus

Ginger

It works to relieve inflammation of the body in general, so it is effective for inflammation in cases of Abortion

Marigold or marigold

It is a very useful herb as it contains nutrients that help prevent bacterial vaginosis or vaginal fungi

It also helps clean the uterus after miscarriage and recover it, relieve pain and cramps and speed up the healing of wounds in general

Lion's Tail Herb

It is used to clean the uterus after childbirth and miscarriage and works to return the uterus to its normal size after miscarriage or childbirth

Cranberry

It works to clean the uterus after miscarriage and reduce the rate of vaginal bleeding, is used to improve the health of the uterine muscles, and works to reduce the size of the uterus and return it to its normal size

Cinnamon

It is effective in cleaning the uterus after miscarriage and after childbirth, and it is also very effective in solving fertility problems to increase the chances of pregnancy, as well as preventing vaginal fungi

Red berries

It is known for its ability to stimulate the uterus, and works to reduce tumors in the uterus and is also a good stimulant for uterine contractions, and is rich in many vitamins that are beneficial to the health of the uterus and the reproductive system, and also works to restore the uterus to its position And its normal size

Performing a uterine lining curettage procedure...

In it, the uterine lining is scraped and the fetal tissue attached to it is removed in the event that the miscarriage does not occur completely and some parts of the fetus remain inside the uterus, which causes the mother to be exposed to serious complications, including fever