Post Abortion or Miscarriage

Ovulation is minimally suppressed following a spontaneous abortion (miscarriage), ectopic pregnancy, or therapeutic abortion. Within five days the hormone levels associated with pregnancy decline and reach normal preovulatory levels. The return to fertility and its associated signs such as the presence of cervical mucus may be noticed as early as two weeks following a prematurely ended pregnancy.

Begin charting menstrual cycle events immediately after the ended pregnancy or no later than 3 to 7 days following the event. It is recommended that a woman make time to dialogue with a HRHP within 2 weeks following the event. The HRHP will ensure that she understands how best to chart her menstrual cycle events, and will discuss with her birth control options and/or plans for future pregnancies.

It is suggested that a woman who has experienced a prematurely ended pregnancy delay becoming pregnant for at least two to three cycles. If her cycles are not healthy it is advised she not become pregnant again until her cycles are healthy. The HRHP is able to help her identify the health of her cycle and support her in optimizing her cycle health.

If a woman experiences continuous mucus following a prematurely ended pregnancy it is suggested that she have her health care provider examine the health of cervix and rule out the presence of a low grade infection. The HRHP is able to help her define her basic infertile pattern and use yellow stamp management to identify fertile and non fertile days.

Women report a variety of challenging and complex emotional responses to a prematurely ended pregnancy. It is not unusual for the significant others in a woman life to also have emotional responses to the event, which may influence her response and ability to deal with her response. The HRHP is trained to help a woman work through the feelings associated with this type of event and/or to refer her for counsel elsewhere.