Sexual Activity and Contraception After Miscarriage - Obstetrics and Gynecology

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Sexual intercourse after a miscarriage?


Hello, I would like to ask about my situation.
I had a pregnancy test on May 16, and on May 18, it was confirmed as a natural miscarriage.
I have been to a large hospital for examination, and the doctor prescribed uterotonics, which I am still taking.
The bleeding has significantly decreased.
I had sexual intercourse on May 23.
Is there a chance of getting pregnant? Although there was no ejaculation inside, I am still concerned.
I would also like to know how long it typically takes for menstruation to return after a natural miscarriage.
If I do not want to get pregnant in the short term, can I take a 21-day or 28-day oral contraceptive pill? Should I wait until after my next period to start taking it?

Paggy, 30~39 year old female. Ask Date: 2023/05/24

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, if your period is usually irregular and has not occurred for a month and a half, it is advisable to take a pregnancy test.
You can start taking contraceptives from these few days.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2023/05/24

More Info


After experiencing a miscarriage, it’s understandable to have concerns about sexual activity, the possibility of becoming pregnant again, and the timing of your next menstrual cycle. Let’s address your questions one by one.

1. Can you get pregnant after a miscarriage?
Yes, it is possible to become pregnant shortly after a miscarriage. Sperm can survive in the female reproductive tract for up to five days, so if you had unprotected sexual intercourse, there is a chance of conception. However, since you mentioned that the sexual activity occurred on May 23 and you had a miscarriage confirmed on May 18, the likelihood of pregnancy depends on your ovulation cycle. After a miscarriage, ovulation can occur as early as two weeks later, which means you could potentially conceive if you ovulate soon after the miscarriage.

2. When will your period return after a miscarriage?
The timing of your next menstrual period can vary significantly after a miscarriage. For some women, it may take a few weeks for their menstrual cycle to return to normal, while for others, it could take a couple of months. Generally, you can expect your period to return within four to six weeks after a miscarriage, but this can be influenced by various factors, including your individual hormonal balance and how far along you were in your pregnancy.

3. Can you take birth control pills after a miscarriage?
If you want to avoid pregnancy in the short term, you can start taking oral contraceptive pills after a miscarriage. It is often recommended to wait until your first menstrual cycle has returned before starting the pill, as this can help you track your cycle more accurately. However, some healthcare providers may allow you to start the pill immediately after a miscarriage, especially if you are certain you do not want to conceive right away. It’s essential to consult with your healthcare provider to determine the best course of action for your specific situation.

4. What about the use of contraception?
If you are concerned about becoming pregnant again immediately after a miscarriage, using contraception is a wise decision. Oral contraceptives, condoms, or other forms of birth control can help prevent unintended pregnancies. If you choose to use hormonal birth control, ensure that you discuss with your doctor the best time to start taking them based on your health and recovery from the miscarriage.

5. Emotional considerations
It’s also important to consider the emotional aspects of resuming sexual activity after a miscarriage. Many women experience a range of emotions, including sadness, anxiety, or fear regarding future pregnancies. Open communication with your partner about your feelings and concerns can help both of you navigate this sensitive time together.

In summary, while it is possible to become pregnant shortly after a miscarriage, the timing of your next period can vary. You can consider starting birth control pills, but it’s best to consult with your healthcare provider for personalized advice. Remember to take care of your emotional well-being during this time, as it is just as important as your physical health.

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