Tips for Increasing Your Chances of Getting Pregnant After Loss - Obstetrics and Gynecology

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What can increase the chances of getting pregnant?


Hello doctor, last May I had to undergo a termination of pregnancy due to fetal abnormalities at 21 weeks.
Since then, I have been eager to have another child, but I haven't had any good news.
Prior to that, it took me a long time to conceive that child.
I really want to have another baby.
I have been diligently tracking my basal body temperature and doing my homework, but I still haven't had any results.
What should I do?

Qingzi, 30~39 year old female. Ask Date: 2017/01/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the general definition of infertility is the inability to conceive after one year of regular sexual intercourse.
Therefore, you are not classified as infertile.
You can first visit a gynecologist to help determine your ovulation days.
If you still have concerns, you may consult your regular gynecologist.
Wishing you good health.

Reply Date: 2017/01/16

More Info


I'm sorry to hear about your loss and the challenges you're facing in trying to conceive again. It's understandable to feel anxious and frustrated after experiencing a miscarriage, especially when you've already faced difficulties in getting pregnant in the past. Here are some tips and considerations that may help increase your chances of getting pregnant after a loss.

1. Consult with a Specialist: Given your history of miscarriage and difficulty conceiving, it may be beneficial to consult a fertility specialist or a reproductive endocrinologist. They can conduct a thorough evaluation to identify any underlying issues that may be affecting your fertility, such as hormonal imbalances, uterine abnormalities, or genetic factors.

2. Optimize Your Health: Focus on maintaining a healthy lifestyle, which can significantly impact your fertility. This includes:
- Balanced Diet: Eating a nutritious diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can support overall health and hormonal balance.

- Regular Exercise: Engaging in regular physical activity can help maintain a healthy weight and improve circulation, which is beneficial for reproductive health.

- Avoiding Substances: Limit or eliminate alcohol, tobacco, and recreational drugs, as these can negatively affect fertility.

3. Track Your Cycle: Continue to monitor your basal body temperature and consider using ovulation predictor kits to identify your fertile window. Understanding your cycle can help you time intercourse for optimal chances of conception.

4. Manage Stress: Emotional well-being is crucial when trying to conceive. High levels of stress can affect hormonal balance and ovulation. Consider incorporating stress-reducing practices such as yoga, meditation, or mindfulness into your routine.

5. Consider Hormonal Support: If your doctor recommends it, hormonal treatments may help prepare your body for pregnancy. This could include medications to regulate your menstrual cycle or support ovulation. Discuss with your healthcare provider the potential benefits of hormonal therapy, especially if you have irregular cycles or low hormone levels.

6. Timing and Frequency: Aim to have regular intercourse during your fertile window, which typically spans a few days before and including ovulation. Having sex every other day during this time can increase the likelihood of sperm being present when the egg is released.

7. Post-Miscarriage Recovery: After a miscarriage, it's important to give your body time to heal. Most healthcare providers recommend waiting at least one menstrual cycle before trying to conceive again, but some women may feel ready sooner. Listen to your body and consult with your doctor about the best timing for you.

8. Genetic Counseling: Since you mentioned a previous pregnancy with fetal abnormalities, consider genetic counseling. This can provide insights into whether there are any hereditary factors that could impact future pregnancies.

9. Emotional Support: Don’t hesitate to seek support from friends, family, or support groups for individuals who have experienced similar losses. Sharing your feelings and experiences can be therapeutic and help you cope with the emotional aspects of trying to conceive again.

10. Stay Informed: Continue to educate yourself about fertility and pregnancy. Knowledge can empower you and help you make informed decisions about your health and treatment options.

In conclusion, while the journey to conceive after a loss can be challenging, there are steps you can take to enhance your chances of success. It's essential to work closely with your healthcare provider to tailor a plan that suits your individual needs and circumstances. Remember to be patient with yourself and allow time for healing, both physically and emotionally. Wishing you the best on your journey to parenthood.

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