Menstruation is a stage in the life of every woman, which usually lasts for several days during each month. Bleeding occurs from the female genital tract and is caused by desquamation and removal of a fragment of the mucous membrane of the endometrial cavity. This occurs as a result of the lack of fertilization of the egg.
It is also believed that the first menstruation indicates that the girl turns into a real woman. The onset of menstruation in practice means that the woman also acquires the ability to conceive offspring.
During pregnancy, the menstrual cycle ends and is restored immediately after the birth of the baby. But for some women, pregnancy is interrupted, and menstruation after miscarriage does not appear immediately.
When does a cycle recover from a miscarriage?
Women whose pregnancy has been interrupted are often asked: “After how many menstrual periods after a miscarriage begin?”. Immediately, as soon as the endometrium was rejected, the woman had excessive bleeding from the vagina. Cleaning or scraping is also accompanied by bleeding. Monthly begin exactly one month or 25-36 days, and the time of miscarriage is considered the first day of the menstrual cycle.
However, a woman should be prepared for the fact that the first menstruation after a miscarriage may have been different from what they were before. The intensity of the discharge depends on the quality of vaginal cleaning. While scraping should be carried out without fail. The length of the menstruation period also varies.
Pain during menstruation after miscarriage
Many women complain of pain that accompanies the first menstruation after a miscarriage. It should be remembered that the changes that occur in the body of a young woman, include not only changes within the genitals. Through the changes passes the entire body of a woman, in particular, changing the hormonal balance, which is responsible for health and mood during all days of menstruation.
From a medical point of view, painful menstruation after a miscarriage is about 60% of women (especially during the first days of the cycle). In some cases, the pain is so severe that it can lead to loss of consciousness, fainting.
Unfortunately, it does not cover only the lower abdomen, but, in particular, is felt in the region of the sacrum. Some women complain of severe pains in the head and chest during the first days of the menstrual cycle. Capriciousness, irritability, nausea, vomiting, diarrhea - these are just some of the symptoms of pain during menstruation after a miscarriage.
Causes of painful menstruation
The first periods after a miscarriage are almost always accompanied by pain. But what explains the pain during menstruation a year after the loss of a child? Of course, if there was pain before pregnancy, they can remain after a miscarriage. After all, the main reason is intense contractions of the uterus muscles during the first days of menstruation. Most physicians support the theory: if there are painful periods, then most often they disappear after the birth of the first child. If the doctor performed a high-quality curettage after a miscarriage, then the pain should also stop.
But there are other reasons that cause pain after a few months after miscarriage. The causes of painful menstruation can also be of various origins, for example, gynecological diseases, which appear due to hormonal disturbances as a result of miscarriage.
The most common causes of pain during menstruation include:
- cysts on the ovaries,
- inflammatory processes.
Therefore, it is necessary to be examined regularly by a doctor. This is especially true for women who have a miscarriage or abortion.
Signs and symptoms preceding menstruation
Menstruation after miscarriage can be intense. Indeed, in the uterus remained particles of amniotic fluid. Often, women during menstruation appear symptoms characteristic of infectious processes: pain, weakness, high fever. Abundant secretions are those when a woman has to change the gasket more than once every 3 hours during the initial days of menstruation.
How many days go monthly after a miscarriage also depends on whether the scraping was carried out. They usually last from 5 to 10 days.
Precursors of menstruation after a miscarriage - this is most often:
- pains of various origins during the cycle - in the chest, lower abdomen, spine, lower back,
- dysfunctions of the head, severe pain, dizziness, lack of concentration,
- sleep disturbances during the first days of menstruation,
- upset stomach (constipation or diarrhea),
- difficulty concentrating, irritability,
- alternating bouts of cold and heat.
Signs of menstruation may appear even a week before its actual occurrence. In most cases, the pain increases to the first days of menstruation.
How to facilitate the flow of menstruation?
Each of the women who had pain during menstruation after suffering a miscarriage, can independently cope with this problem. The most common practice for dealing with pain during menstruation after a miscarriage is the use of special pain medications.
The pharmaceutical market greatly facilitates access to numerous means that will remove discomfort during this difficult period. Active substances in anti-inflammatory drugs have the task of suppressing the production of prostaglandins in the endometrium of the uterus. Often women use No-shpu, Analgin, Took, Tempalgin, Ketanov. But any medicine should be prescribed by a doctor, but it is impossible to self-medicate.
Treatment of painful menstruation after miscarriage
There are a lot of ways to successfully combat pain during menstruation after a miscarriage, so each woman who has faced such a problem can solve it individually. If all attempts made are not able to eliminate the pain, you should consult with a gynecologist.
Very often in the fight against painful menstruation help:
- Decoctions of herbs, their reception should begin a few days before the expected menstruation. The most recommended are mint, lemon balm, chamomile drug, rosemary, rue ordinary.
- Soft, warm baths. They relax the entire body, therefore, have a weakening of unpleasant consequences during the first days of menstruation.
- It is very important to stop bathing before the onset of bleeding after a miscarriage, as they can cause the severity of the symptoms associated with menstruation.
- Requires little physical exertion and movement.
- We recommend the use of a mild relaxation massage, which always has a positive effect on the body and even during menstruation.
- A very important role is played by a properly chosen and balanced diet. In particular, calcium-rich foods should be used in the daily diet: milk, fish, nuts, legumes, and a variety of dairy products.
Menstrual pain after miscarriage should not be underestimated. In many cases, they present a painful problem that a woman must fight every month, so it’s worth doing everything so that this difficult period brings as little discomfort as possible.
It is recommended not to ignore consultations with a gynecologist, who will certainly find a solution to correct the problem.
Miscarriage and its types
Each representative of the weaker sex can lose a child, regardless of how long she is pregnant. The process of restoring the female body after this is quite long and takes place in different ways for each girl. It depends on both the individual characteristics of the organism, and the type of miscarriage that occurred in a woman.
To accurately determine when the monthly after a miscarriage, it is necessary to determine its type, the following options are encountered:
If a girl knows that she is in a position for very short periods and she has a spotting suddenly, these symptoms can be considered a prerequisite to the occurrence of spontaneous abortion.
Many girls who have lost a child after cleansing, wonder how long it will take the body to normalize the menstrual cycle. In fact, each woman is individual, so the number of days required for this process will be different.
The nature of the first menstruation
Often, the first menstrual periods after a miscarriage are accompanied by an abundant discharge of blood and this should not be frightened. Literally in 2 months, the menstrual cycle will normalize and the volume of discharge will decrease. In the case when you have not seen any changes, you need to seek help from your attending gynecologist, who will determine the exact cause of such deviations.
If the bleeding does not stop for a long time and is accompanied by severe pain, the woman will need the help of a specialist. In such cases, they often resort to a cleaning procedure.
Do not take for the beginning of menstruation bleeding, which begins just a few days after surgery. This may indicate that fragments of the fetus remain in the uterus, which will soon lead to infection of the female body, if not get rid of them.
The first discharge after miscarriage should begin no later than 21–35 days after surgical cleaning. This period will be enough to restore the body after suffering stress. But this period cannot be considered the norm, everything depends on the woman’s health, the nature of the cleansing, etc., therefore the length of the rehabilitation period may vary.
Types of periods
Often, the first day of bleeding that accompanies this type of abortion is often called menstruation, but this is not entirely correct. It should last no more than 10 days.
Naturally, such bleeding cannot be considered the beginning of a normal menstrual cycle, since after such stress, the female body and hormones should recover, and this will take some time.
After a spontaneous miscarriage, the following variants of discharge can be observed:
- 2-3 days marked small bleeding, without feeling the pain in the abdomen.
- The occurrence of smearing brown secretions indicates that this process will soon be completed.
- In the case of heavy bleeding, when a woman loses about 80-100 ml of blood per day, they speak of a dysfunctional disorder.
- If the discharge contains green or yellow mucus, this indicates infection.
Asking how much time should be allocated after abortion, we can say that the first cycle normally lasts 3-7 days, but not more.
The reasons for the possible delay
Sometimes, after such an operation, there is a delay when menstruation does not begin after 35 days. In this case, consultation of the doctor is also required. Such a delay indicates that the functionality of the female body does not return to normal and needs help.
There are no special reasons in this case for concern, but you still have to undergo an examination and an ultrasound examination, since it is necessary to establish the reason for which the monthly periods do not go.
Despite the fact that the menstrual cycle quickly went through a recovery phase, one should pay attention to the nature of the menstrual periods after a miscarriage in a girl who has undergone curettage of embryo residues from the uterus.
In the event that the miscarriage did not occur spontaneously and surgical cleaning was additionally performed, the discharge will be very strong, possibly with small clots of frozen blood.
If such secretions are dark brown in color, with a rather unpleasant odor and come after several days, you should immediately seek medical help. Maybe nothing wrong with that, but still need additional examination to exclude sepsis and the presence of fetal debris in the uterus of a woman.
Also, bleeding after a miscarriage often leads to a disease such as anemia, which is characterized by a large loss of blood.
No less dangerous are very scanty discharge, especially if they occur more than 2 cycles in a row or there is a very long delay. This may indicate the occurrence of adhesions inside the uterus. Their presence in the future will prevent a woman from becoming a mother again.
Severe bleeding after a miscarriage suggests that a woman has inflammatory processes in the progression phase or serious diseases. Sometimes it can even be life threatening, especially if you do not go to a doctor in time for hospitalization and further treatment.
If there are no menstrual periods after a miscarriage, the woman, in addition to the gynecological examination, is assigned an ultrasound scan, which is done every week. This is done in order to eliminate the possible danger to life associated with infection.
In order not to aggravate the condition of the female body after suffering stress and quickly improve the situation, experienced gynecologists recommend:
- Do not use tampons in the first month after surgery.
- Refuse to have sex for several weeks.
- Do not use douching without a doctor's prescription.
Do not forget, late access to a doctor leads to infertility and the development of other health problems.
When will menstruation begin after a miscarriage
Depending on the period at which the termination of pregnancy occurred, the timing of the recovery of the female body, as well as the onset of the next menstruation, depends.
The woman’s body suffers the least stress if a miscarriage occurs in the early stages. At this point, the preparation for carrying is just beginning. If a late miscarriage occurs - between 14-16 and 22 weeks - the changes are more serious, and the recovery period is longer.
Ideally, menstruation should begin within 28-30 days from the moment of miscarriage. Discharge should be moderate, without unpleasant smell, last no more than a week. In the opposite case, you should consult a doctor to rule out complications.
When the first menstruation begins after a miscarriage depends on the following factors:
- Gestational age. If it was a biochemical pregnancy, then there should be no cycle failure. If a miscarriage occurred before 12 weeks, then the next menstruation should come in 28-30 days, but there may be delays of up to a week or even more.
The first menstruation after a miscarriage at a late period can appear only after 1.5-2 months, and for two weeks after the interruption, a woman can have a spotting discharge like postpartum lohia.
- Was it scraping. The most benign option is when a woman has a complete spontaneous miscarriage and does not require additional curettage of the uterus. In this case, the probability of violations of the cycle is less. If the miscarriage was incomplete or late, curettage is a necessary diagnostic procedure.
- Have there been dysfunctions before. If a woman suffers from regular cycle failures, then it is not worth waiting for the first menstrual period after a miscarriage. Most likely they will also come with a delay.
See in this video about when and what should be monthly after a miscarriage:
Nature of discharge
It is believed that in a month or two - the period at the end of which the first menstruation begins, the woman’s body more or less recovers. Therefore, critical days should ideally be, as usual, months — moderately heavy, 5–7 days, moderately painful or painless, without clots, of normal color and smell. The following deviations are possible:
Appear if a woman has any concomitant diseases, for example, uterine fibroids, endometriosis, congenital malformations of the uterus. Also abundant periods can be if there are fetal membranes in the uterus.
Therefore, if it is necessary to replace the “maxi” pads every two to three hours, it is better to consult a doctor, as the condition may threaten the woman’s life.
May occur in the event that before this woman was not allocated abundant secretions. Also, scanty periods can be caused by excessive removal of the inner layer of the uterus - the functional endometrium.
The likelihood of this increases with repeated scraping of the uterus, with frozen.
The timing of the normalization of menstruation after miscarriage
After termination of pregnancy, slight disruptions are allowed for the next two or three cycles. More often occur in those girls who have suffered from various violations. If the miscarriage was accompanied by some complications, the time may be extended to six months or more.
It will also be a reliable guarantee that a new pregnancy will not come until the body is fully restored. Начинать прием можно в день, когда зарегистрирован полный выкидыш или произведено выскабливание полости матки.
Когда можно планировать зачатие
Рекомендации по планированию новой беременности индивидуальны. It all depends on the cause of the miscarriage, as well as on the state of health of the woman. The following criteria are generally recognized:
- after biochemical pregnancy - it is allowed to plan in the next cycle,
- after miscarriage up to 12 weeks - the recommended period of protection is three months,
- after miscarriage from 14 to 22 weeks - planning is better to be postponed for four to six months.