Are you more fertile after you gave birth?

I do know people that had babies and they were pregnant when they would go for their six week check up so i do believe you are more fertile after giving birth or having a miscarriage.



Question: 

I was wondering, I had a miscarriage the second week of June. Is it more common for someone to get pregnant again very soon after the miscarriage or does it usually take a while? Is it true that you are more fertile directly after a miscarriage? 


Answer: 

If you conceived quickly, chances are good for a successful pregnancy happening soon. If your miscarriage was preceded by a long time trying to conceive, then it's not much reassurance, and further infertility usually follows.


There is no good information available as to whether you should wait one or more months before trying again. In general I believe it is best to leave this to Nature. Pregnancy is unlikely to happen before you are ovulating normally again and the lining of the uterus (the endometrium) is back to normal, so once the bleeding has stopped and you feel comfortable again, go ahead and have sex without contraception. You can never be sure there won't be another miscarriage but there is no information that says it will be more or less likely if you conceive again quickly.


The one cause of infertility that is suppressed by pregnancy and so makes you more fertile directly after is endometriosis. Endometriosis, though, is not usually a cause of miscarriages



A study in the February 25,1999, New England Journal of Medicine reported a higher incidence of low birthweight and prematurity among babies conceived within six months of a previous birth, compared to those conceived 18 to 23 months following the last baby. It makes good sense for a woman to let her body recover and replenish lost nutrients after having a baby. For instance, following delivery, the mother may be anemic because of the iron transferred to the baby and the placenta. In addition, a mother always loses blood during delivery. Having said that, some mothers may wish to have two babies close together for a variety of reasons. For those women I think attempting to get pregnant after a baby is 3 months old is probably safe, but may be psychologically daunting.



Trying to get pregnant after miscarriage can be scary and confusing. When can you try again? What are your chances of success? What are the causes of miscarriage? We addressed these questions and more when Amos Grunebaum, MD, medical director of the WebMD Fertility Center, joined us in WebMD Live.  


The opinions expressed herein are the guest's alone and have not been reviewed by a WebMD physician. If you have questions about your health, you should consult your personal physician. This event is meant for informational purposes only. 


Member question: Should I insist on tests after a first miscarriage to determine the cause? 


Dr. Amos: After one miscarriage your risk of having another one is not increased. So most doctors do not suggest doing any testing after one miscarriage. Having said that, it also depends on your medical history. For example, some second trimester abortions may be associated with an incompetent cervix, but most first trimester abortions are due to chromosomal anomalies, and the next pregnancy will usually end in a healthy baby. 


Member question: I've had a miscarriage before. I had FSG and day three blood testing and his semen analysis done and all results are normal. What else do I need to do to locate my problem for not being able to conceive? 


Dr. Amos: If you ovulate regularly AND he has a normal sperm count then the next step is usually to check the fallopian tubes. This is usually done with a hysterosalpingogram or a laparoscopy.

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