The tablets usually begin to work within a few hours. You'll experience symptoms similar to a heavy period, such as cramping and heavy vaginal bleeding. You may also experience vaginal bleeding for up to 3 weeks. In most units, you'll be sent home for the miscarriage to complete. This is safe, but ring your hospital if the bleeding becomes very heavy.
You should be advised to take a home pregnancy test 3 weeks after taking this medicine. If the pregnancy test shows you're still pregnant, you may need to have further tests.
You may be advised to contact your healthcare professional to discuss your options if bleeding has not started within 24 hours of taking the medicine.
In some cases, surgery is used to remove any remaining pregnancy tissue. These include:. After a miscarriage, you may have hcG in your blood for one to two months , which could lead to a false positive pregnancy test. In most cases, your period will return within four to six weeks , though you may start ovulating almost immediately following a miscarriage. The risk remains around 20 percent. Two or more miscarriages is referred to as recurrent pregnancy loss RPL.
The risk of miscarriage after two losses is 28 percent. After three consecutive losses, it increases to 43 percent. Only 1 percent of people experience three or more miscarriages. About 65 percent of those with unexplained RPL go on to have successful pregnancies. Even things like smoking or drinking alcohol or caffeine, which can lead to other complications, are also unlikely to lead to early pregnancy loss.
A miscarriage can be physically painful, and it may also cause a variety of emotions. While your body may recover in a few weeks, be sure to take time to process your feelings, grieve, and reach out for help when you need it.
If this happens, you might not notice anything different from your usual period…. I was feeling surges of nausea and had already bought a neutral blue onesie… And then quietly — almost like it never happened — my….
You may want to seek out others who have had miscarriages, either in person or online. Know that as difficult as they can be, miscarriages are a common part of the childbearing experience. The vast majority of women who miscarry go on to have healthy pregnancies. First-trimester miscarriages are usually random events, unlikely to recur. However, a small number of women experience two or more miscarriages in a row, which is considered recurrent miscarriage.
If this has happened to you and you want to get pregnant again, you may want to have medical tests to help identify the cause and see if anything can be done to prevent future miscarriages. The only definitive way to learn what caused a miscarriage is to have the fetal tissue from the miscarriage sent to a pathologist for genetic tests and a detailed microscopic examination.
If you are at home when you miscarry, you may be able to collect the tissue in a clean container. If you do, refrigerate the tissue until you can bring it to your care provider. Once the testing has been done, ask to see all the pathology reports, and ask for a full explanation of all terminology. Most miscarriages are caused by a genetic issue. A small number of losses are caused by blood clots or immunologic abnormalities.
About ten percent of the time, no specific cause can be found. If you are not satisfied with the explanation that is given to you, you can request that the loss tissue be examined by someone who specializes in analyzing pregnancy loss tissues. Even if the cause cannot be determined after testing, you may be able to rule out likely causes of a repeat miscarriage, and you will know that you have done all you can to get an answer.
Photo: Shutterstock. Even though it can be an emotionally draining experience, an early miscarriage isn't always a medical emergency. You should always go to the emergency room if you are having very heavy bleeding such as soaking through a menstrual pad in under an hour or if you're having symptoms of ectopic pregnancy , such as severe pain in the abdominal area, dizziness, or fainting. In other cases, call your doctor's office and let them know what symptoms you're having. The follow-up will depend on how far along you are in your pregnancy.
How you and your doctor respond to an early miscarriage usually depends on the timing. With a very early miscarriage, you may not need to visit your doctor. If the bleeding begins within a day or two of getting a positive pregnancy test and looks like a slightly heavy menstrual period, you may wish to just repeat the pregnancy test in a few days. A negative pregnancy test usually means that you are no longer pregnant.
You would most likely not require any kind of treatment after this kind of a miscarriage which is often termed a chemical pregnancy —one that occurs before an ultrasound reveals a gestational sac. That being said, you should always see a doctor whenever you're in doubt, or if you have any questions or concerns at all. Your doctor will be able to give you the answers you need. Many women find it helpful to talk to their doctor about the emotional aspects of an early miscarriage or about the risk of a repeat miscarriage.
If you are early enough, and your doctor gives you the OK, expectant management is also a sensible option—this means you wait to pass the fetal tissue naturally at home. It's important to understand that there is no way to stop an early miscarriage that is in progress. Doctors can only make sure that your own health is not in danger as a result of the miscarriage and offer you advice on how to move forward. Early miscarriages, especially if they are one-time-only rather than recurrent miscarriages , are frequently related to chromosome defects in the fetus.
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