Trying to Conceive After a 9-Week Abortion: Concerns and Tips

After a 9-week abortion, I want to get pregnant again?

1.
I underwent a vacuum aspiration for an abortion on March 13, as I was nine weeks pregnant but could not see the embryo or hear a heartbeat; there was only an empty gestational sac that was smaller than the previous week.
The doctor diagnosed it as a blighted ovum.
This was my first pregnancy, and the doctor mentioned that I could start trying to conceive again after my next menstrual period, assuring me that this would not affect my future attempts.
However, I am fearful of experiencing the same situation again and would like to know if there is anything we can do to improve our chances.
After the procedure, I did not experience any bleeding the next day.
I had a follow-up appointment at the surgical hospital on March 21, where the doctor confirmed that my endometrium was recovering normally.
However, I started experiencing lower back pain on March 16 and consulted a traditional Chinese medicine practitioner who prescribed warming herbal soup, stating it would help clear out the lochia.
I noticed a small amount of brown or pink discharge daily until it ended on March 26.
Is this normal? Do I need to return for another follow-up at the surgical hospital?
2.
Last September, I visited a gastroenterologist due to nearly six months of irregular bowel movements, which resulted in a stool test showing occult blood.
I underwent a colonoscopy and had three benign polyps removed.
My bowel movements improved somewhat, but after becoming pregnant, they became irregular again.
It was only after the abortion that my bowel movements returned to normal yesterday.
Could this have affected my pregnancy?
3.
Is taking folic acid, myo-inositol, and chaste tree berry beneficial? Do they help with the occurrence of blighted ovum?
4.
After my miscarriage, a friend gave me chicken essence.
Is it safe to consume?
5.
To this day, I still experience some lower back pain.
The doctor mentioned that having a retroverted uterus is normal, but I only experienced back pain and abdominal discomfort during my menstrual periods before.
Are there any methods to alleviate this discomfort? I have many questions, and I appreciate your help.
Thank you!

Xiao Q, 30~39 year old female. Ask Date: 2016/03/29

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is normal to experience some discomfort right after surgery.
Diet is not related to ovarian atrophy.
It is recommended to maintain a normal diet and lifestyle.
If you still have concerns, it is advisable to consult your regular obstetrician-gynecologist.
Wishing you good health.

Reply Date: 2016/03/29

More Info

After a 9-week abortion, it's completely normal to have concerns about trying to conceive again. Here are some insights and tips based on your questions and situation:
1. Post-Abortion Recovery: It’s good to hear that you stopped bleeding shortly after the procedure and that your doctor confirmed your uterine lining is returning to normal. The presence of light spotting (like the coffee or pinkish discharge you mentioned) for a short period after the procedure can be normal as the body clears out any remaining tissue. If the bleeding stops and you’re not experiencing any severe pain or fever, it’s likely a sign that your body is healing well. However, if you have any concerns or if the bleeding resumes or worsens, it’s wise to follow up with your healthcare provider.

2. Digestive Health: Your history of irregular bowel movements and the presence of blood in your stool prior to your pregnancy may not directly affect your ability to conceive, but maintaining good digestive health is important for overall well-being. Since you mentioned that your bowel movements have improved post-abortion, this is a positive sign. If you continue to experience issues, it may be beneficial to consult with a gastroenterologist to ensure there are no underlying issues that could affect your health or future pregnancies.

3. Supplements: Taking folic acid is highly recommended when trying to conceive, as it helps prevent neural tube defects in the developing fetus. Inositol has been studied for its potential benefits in improving ovarian function, particularly in women with polycystic ovary syndrome (PCOS). As for Vitex (Chaste Tree Berry), it may help regulate menstrual cycles but should be used with caution and ideally under the guidance of a healthcare provider, especially after a recent abortion. It’s important to discuss any supplements with your doctor to ensure they are appropriate for your situation.

4. Nutrition Post-Abortion: Consuming chicken essence or similar nutrient-rich foods can be beneficial for recovery, as they provide protein and other nutrients that support healing. However, ensure that your diet is balanced and includes a variety of foods rich in vitamins and minerals to support your overall health.

5. Managing Discomfort: If you’re experiencing persistent lower back pain, especially if it’s new or different from what you experienced before, it’s important to address this with your healthcare provider. Gentle stretching, heat therapy, and maintaining good posture can help alleviate discomfort. If the pain continues, a physical therapist may provide exercises tailored to your needs, especially considering your history of uterine retroversion.

6. Trying to Conceive Again: After an abortion, many women are anxious about conceiving again. It’s essential to give your body time to heal both physically and emotionally. While your doctor has indicated that you can start trying to conceive after your next menstrual cycle, ensure that you feel ready emotionally as well. Tracking your ovulation can help you identify the best times to conceive.

7. Emotional Well-being: It’s normal to feel anxious after a miscarriage or abortion. Consider talking to a counselor or joining a support group for women who have gone through similar experiences. Emotional health is just as important as physical health when it comes to trying to conceive.

In summary, while your body is likely capable of conceiving again soon, it’s important to prioritize your physical and emotional recovery. Maintain open communication with your healthcare provider, follow their advice, and take care of your overall health as you prepare for the possibility of pregnancy again.

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