The thought of getting pregnant after miscarriage can be quite daunting, as many women are afraid of a second miscarriage. A miscarriage (called a spontaneous abortion by physicians) is the unintentional loss of pregnancy prior to twenty weeks of gestation. It is believed (according to the American Society of Reproductive Medicine) that as many as twenty five percent of known pregnancies will miscarry. This rate will most likely be higher in actuality because miscarriages can happen before a woman is even aware she is pregnant.

The reasons behind miscarriage are not yet fully understood. In general miscarriages in the first trimester are attributed to the presence of chromosomal abnormalities in the foetus (which are randomly occurring).

The health and well-being of the mother can also play a part. There are a number of medical conditions which may increase the likelihood of miscarriage, such as some autoimmune diseases, untreated diabetes and any structural problems in the uterus (this can inhibit proper implantation of the egg). A woman’s (and prior to conception, a man’s too) lifestyle choices can also affect the likelihood of miscarriage – things like drug abuse or smoking can play their part. Apart from the above mentioned factors, a large number of miscarriages happen when the egg has been improperly implanted into the uterine lining – this can be remedied by knowing the right times each month for intercourse, which we will come to further on in the article.

There are a number of signs that may precede a miscarriage including lower back pain and cramps in the abdomen and pelvis as well as fluid or tissue and blood coming from the vagina. Many women experience some blood spotting during early pregnancy, so although bleeding precedes a miscarriage, it is not always the case that when there is some blood you are miscarrying.

Most miscarriages in the early stages do not require medical treatment as the uterus voluntarily empties out like a heavy period. If there is tissue that remains in the uterus (which shows up on an ultrasound) then a procedure to cleanse the uterus, or medication to make the uterus expel the remaining tissue may be required. This is an important step if tissue remains inside, as infections may set in if nothing is done. It is normally recommended that couples don’t try getting pregnant after miscarriage for a number of months. For couples who experience recurring miscarriages there are tests which can try and determine the cause and a solution.

Before having any of these sometimes painful tests, it is important that you rule out a major cause of early miscarriage which is due to improper implantation of the egg into the lining of the uterus. The problem can be lowered significantly by having intercourse at the right time in the month.

This is the time when a woman’s cervical fluid is of an ‘eggwhite’ consistency, and it is the most fertile time in the woman’s cycle. When the man has a normal sperm count, then the couple should have intercourse every day of the eggwhite cervical fluid and should only cease once a rise in basal temperature is noticed in the woman. If there is a problem with sperm count, then it is important that intercourse is only undertaken every second day of the fertile cervical fluid up until a rise in temperature is noted. By having sex during this fertile period, the chances of conceiving are higher, and it is more likely that the egg will be properly implanted into the uterus’ lining, thus lowering the chances of miscarriage.

It is also crucial to be healthy before trying to conceive. It is important to make sure you are eating right, are keeping your weight in a healthy range and are getting enough exercise. Quitting cigarettes and not being around other people’s smoke is also important. Caffeine should not be ingested, and alcohol is a definite no-go. External toxins from paints and such things are important to avoid, so if you are painting the house, use ‘green’ products, and re-carpeting should be avoided as many new carpets have loads of formaldehyde in them. When you try getting pregnant after miscarriage, you need to attend to lifestyle factors and emotional and stress issues – and always remember that having sex at the right time of month can reduce your chances of a recurrence.

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