Menstrual Cycle and Pregnancy Risks After D&C Procedure - Obstetrics and Gynecology

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Hello, doctor.
I confirmed my pregnancy at the beginning of October, but on the night of November 19th, I experienced sudden heavy bleeding.
I underwent a dilation and curettage (D&C) that same day.
I would like to know when I can expect my next menstrual cycle to occur.
Additionally, if I engage in sexual intercourse during this period, what is the likelihood of becoming pregnant again?

Xiao Yan, 20~29 year old female. Ask Date: 2003/12/08

Dr. Lü Lizheng reply Obstetrics and Gynecology


Hello! Typically, the next menstrual period may be delayed by 1 to 2 weeks, so the time for resuming ovulation is generally around 2 to 3 weeks later.
However, if it exceeds this timeframe, the ovaries may resume ovulation, which could lead to pregnancy.
If it has been 2 to 3 weeks since a miscarriage, the likelihood of becoming pregnant is very low.
This is a response from Dr.
Lu Li-Cheng, Director of the Department of Obstetrics and Gynecology at Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/12/08

More Info


After undergoing a dilation and curettage (D&C) procedure, it is essential to understand how this may affect your menstrual cycle and the potential for future pregnancies. A D&C is often performed following a miscarriage or to remove tissue from the uterus, and it can have implications for your menstrual cycle and fertility.

Typically, after a D&C, most women can expect their menstrual cycle to return within 4 to 6 weeks. However, this can vary based on individual factors such as hormonal balance, overall health, and the regularity of your previous cycles. If your cycles were regular before the procedure, you might find that they return to normal relatively quickly. If they were irregular, it may take longer for your body to adjust.

Regarding the timing of your next menstrual period, if you had a D&C on November 19, you might expect your next period to arrive sometime between late December and early January, depending on how your body responds post-procedure. It is important to keep in mind that the first period after a D&C can sometimes be heavier or more painful than usual, as your body is shedding the uterine lining that has built up.

As for the possibility of becoming pregnant again shortly after a D&C, it is generally considered safe to try to conceive again once you have had one normal menstrual cycle. However, many healthcare providers recommend waiting for at least one cycle before attempting to conceive. This allows your body time to heal and can help with dating a future pregnancy more accurately.

If you engage in sexual intercourse during this time, there is a chance of becoming pregnant, especially if you have not yet had your first period post-D&C. Sperm can survive in the female reproductive tract for up to five days, so if you ovulate shortly after the procedure, conception is possible.

It is crucial to consult with your healthcare provider regarding your specific situation. They can provide personalized advice based on your health history and the circumstances surrounding your D&C. They may also discuss the importance of monitoring your menstrual cycle and any signs of complications, such as excessive bleeding or severe pain, which could indicate that further medical evaluation is needed.

In summary, after a D&C, expect your menstrual cycle to return within 4 to 6 weeks, and be aware that you can become pregnant if you engage in sexual activity before your first period. Always consult with your healthcare provider for tailored advice and to ensure that you are ready for a future pregnancy.

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