One week pregnancy miscarriage

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Is It Possible To Ovulate A Week After Af

I had a D&C 7 weeks ago. On the 14th of May I spotted for one day, which I guess I’m basically counting as my period. I started using OPK so I wouldn’t miss the window of opportunity. To my surprise, the OPK came up positive this past weekend (one week after the day I spotted so my husband and I are doing the BD like crazy. Is it possible that I am actually Oing?

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Facts on Miscarriage

A miscarriage (also termed spontaneous abortion) is any early pregnancy that spontaneously ends before the fetus can survive. Any vaginal bleeding, other than spotting, during early pregnancy is considered a threatened miscarriage. Vaginal bleeding is very common in early pregnancy. About one out of every four pregnant women has some bleeding during the first few months. About half of these women stop bleeding and complete a normal pregnancy.

  • Threatened miscarriage – Vaginal bleeding during early pregnancy. The bleeding and pain with threatened miscarriage are usually mild and the cervical os (the mouth of the womb) is closed. A health care professional will be able to determine if the cervical os is open upon performing a pelvic exam. Typically, no tissue is passed from the womb. The womb and Fallopian tubes may be tender.
  • Inevitable miscarriage – Vaginal bleeding along with opening of the cervical os. In this situation, vaginal bleeding is present, and the mouth of the womb is open (dilated). Bleeding is usually more severe, and abdominal pain and cramping often occur.
  • Incomplete miscarriage – Expulsion of some, but not all, of the products of conception before the 20th week of pregnancy. With incomplete miscarriage, the bleeding is heavier, and abdominal pain is almost always present. The mouth of the womb is open, and the pregnancy is being expelled. Ultrasound would show some material still remaining in the womb.
  • Complete miscarriage – Expulsion of all products of conception from the womb including fetus and placental tissues. Complete miscarriage is just as it sounds. Bleeding, abdominal pain, and the passing of tissue have all occurred, but the bleeding and pain have usually stopped. If the fetus can be seen outside of the body, you have miscarried. Ultrasound shows an empty womb.

A miscarriage occurs when a pregnancy ends without obvious cause before the fetus is capable of survival, typically corresponding to the 20th week. This time is measured from the first day of the woman's last menstrual period. Miscarriage is a common complication of pregnancy. It can occur in up to 20% of all recognized pregnancies. This ending of pregnancy is called a spontaneous abortion. In the medical field, the term spontaneous abortion is often used to describe a miscarriage.

What Causes a Miscarriage?

Miscarriage is caused by the separation of the fetus and placenta from the uterine wall. Although the actual cause of the miscarriage is frequently unclear, the most common reasons include the following:

  • An abnormal fetus causes almost all miscarriages during the first three months of pregnancy (first trimester). Problems in the genes are responsible for an abnormal fetus and are found in more than half of miscarried fetuses. The risk of defective genes increases with the woman's age, especially if she is older than 35 years.
  • Miscarriage during the fourth through sixth months of pregnancy (second trimester) is usually related to an abnormality in the mother rather than in the fetus.
    • Chronic illnesses, including diabetes, severe high blood pressure, kidney disease, lupus, and underactive or overactive thyroid gland, are frequent causes of a miscarriage. Prenatal care is important because it screens for some of these diseases.
    • Acute infections, including German measles, CMV (cytomegalovirus), mycoplasma ("walking" pneumonia) and other unusual germs can also cause miscarriage.
    • Diseases and abnormalities of the internal female organs can also cause miscarriage. Some examples are an abnormal womb, fibroids, poor muscle tone in the mouth of the womb, abnormal growth of the placenta (also called the afterbirth), and being pregnant with multiples.
    • Other factors, especially certain drugs, including alcohol, tobacco, and cocaine, may be related to miscarriage.

What Are the Signs and Symptoms of Miscarriage?

If a women is having a spontaneous miscarriage, she will probably have vaginal bleeding, abdominal pain, and cramping.

  • Bleeding may be only slight spotting, or it can be quite severe. A health care professional will ask about how much the woman has bled-usually the number of pads you've soaked through. She will also be asked about blood clots or whether she saw any tissue.
  • Pain and cramping occur in the lower abdomen. They may occur on only one side, both sides, or in the middle. The pain can also go into the lower back, buttocks, and genitals.
  • The woman may no longer have signs of pregnancy such as nausea or breast swelling/tenderness if she has experienced a miscarriage.

Pregnancy Loss

Pregnancy loss is a harsh reality faced by many expecting couples. If you have lost your baby, you know how devastating and painful this loss can be. You might wonder if you’ll ever have a baby to hold and call your own. But surviving the emotional impact of pregnancy loss is possible. And many women go on to have successful pregnancies.

Why pregnancy loss happens

As many as 10 to 15 percent of confirmed pregnancies are lost. The true percentage of pregnancy losses might even be higher as many take place before a woman even knows that she is pregnant. Most losses occur very early on – before eight weeks. Pregnancy that ends before 20 weeks is called miscarriage. Miscarriage usually happens because of genetic problems in the fetus. Sometimes, problems with the uterus or cervix might play a role in miscarriage. Health problems, such as polycystic ovary syndrome, might also be a factor.

After 20 weeks, losing a pregnancy is called stillbirth. Stillbirth is much less common. Some reasons stillbirth occur include problems with placenta, genetic problems in the fetus, poor fetal growth, and infections. Almost half of the time, the reason for stillbirth is not known.

Coping with loss

After the loss, you might be stunned or shocked. You might be asking, “Why me?” You might feel guilty that you did or didn’t do something to cause your pregnancy to end. You might feel cheated and angry. Or you might feel extremely sad as you come to terms with the baby that will never be. These emotions are all normal reactions to loss. With time, you will be able to accept the loss and move on. You will never forget your baby. But you will be able to put this chapter behind you and look forward to life ahead. To help get you through this difficult time, try some of these ideas:

  • Turn to loved ones and friends for support. Share your feelings and ask for help when you need it.
  • Talk to your partner about your loss. Keep in mind that men and women cope with loss in different ways.

When to Seek Medical Care for a Potential Miscarriage

Call a health care professional if you know or suspect you are pregnant and you are experiencing any of the following:

  • Vaginal bleeding
  • Abdominal pain or cramping, or low back pain
  • Weakness or dizziness
  • Uncontrollable or severe nausea or vomiting
  • Urinary symptoms such as burning, frequency, or pain with urination

Go immediately to the hospital's emergency department if you experience any of the following:

  • You know or suspect you are pregnant and have heavy vaginal bleeding (soaking more than one pad every hour) or pain in the back or the abdomen.
  • You are passing something that looks like tissue (place what you have passed into a jar or container and take it with you to the hospital).
  • You have a history of ectopic (tubal) pregnancy.
  • You are extremely dizzy or pass out.
  • You have a known pregnancy accompanied with passage of clots or other material.
  • You have a fever of greater than 100.4 F (38 C).
  • You are vomiting and cannot keep food or liquids down.

How Is a Miscarriage Diagnosed?

Medical history: You will be asked questions about your pregnancy, such as the following:

  • How far along is your pregnancy?
  • When was your last normal period?
  • How many times have you been pregnant?
  • How many living children do you have?
  • How many miscarriages have you had?
  • Have you ever had an ectopic (tubal) pregnancy?
  • How many abortions have you had?
  • Were you using any sort of birth control when you got pregnant this time?
  • Is this a planned pregnancy?
  • Do you plan to keep this pregnancy?
  • Have you had any prenatal care?
  • Have you had any problems urinating?
  • Have you had an ultrasound yet to show that the pregnancy is in the right place?
  • Do you know your blood type?
  • What medical problems do you have?
  • What medications do you take every day?
  • What herbs or other products do you take every day?

Physical exam: For the pelvic exam, the patient will lie on her back with the knees bent and the feet in stirrups.

  • The patient may have a speculum exam. A metal or plastic device is put in your vagina and then opened, spreading the walls of the vagina apart so the health care professional can look right at the mouth of your womb. If a lot of blood or clots are present, the health care professional may use a clamp or gauze to remove them. The patient should not feel any pain during this part of the exam, although she may be embarrassed and uncomfortable.
  • The patient may bleed from the vagina before, during, and even after a miscarriage. The health care professional will assess the opening of the entrance to the womb (called the os) and, depending on the findings, will be able to tell the patient more accurately which of the types of miscarriage you might be experiencing.
  • The health care professional may put gloved fingers in the vagina and feel the abdomen with the other hand. He or she can feel whether the mouth of the uterus is open, how big the uterus may be, and whether any signs of infection or tubal pregnancy exist. The size of the uterus may be smaller than expected for the fetus if the patient has already miscarried.

Lab tests: Pregnancy tests can be either urine tests or blood tests. A health care professional or emergency department doctor, if you go to the hospital with alarming symptoms, will act quickly to determine if you are pregnant.

  • A urine pregnancy test along with blood samples will be sent to the laboratory to check for blood loss or anemia, blood type, and the level of the pregnancy hormone. This hormone is called human chorionic gonadotropin or hCG.
    • A number too low may suggest that the pregnancy is abnormal. No single number is "normal." A very low number (under 1,000) suggests an abnormal pregnancy, although it could just reflect an early stage of pregnancy.
    • A very high number (over 100,000) strongly suggests a normal living pregnancy. Most other hCG numbers by themselves do not help a lot but can be compared to another test done in two to three days to see if everything is developing normally.
  • A complete blood count (CBC) may be ordered. If the patient has been bleeding a lot, she may be anemic (loss of too much blood) and need special care. If the patient has a fever, the white cell count may suggest she has an infection.
  • If the patient does not know your blood type, this will also be checked.
  • If the patient has symptoms of a urinary infection, a urine sample will be taken and examined.

Ultrasound: If a woman is pregnant, an ultrasound may be performed to look for evidence of a pregnancy within the uterus. If the radiologist, gynecologist, or emergency department doctor cannot find evidence of a pregnancy within the uterus, the patient will likely be evaluated further for a pregnancy that is outside the uterus. When the fertilized egg implants outside of the uterus, this is called an ectopic pregnancy. A tubal pregnancy refers to a type of ectopic where the pregnancy develops within the Fallopian tube.

  • Your bladder has to be full for this test, so the patient will have to drink a lot of water, or the technician will give the woman fluid in a vein and ask her not to go to the bathroom until after the test is completed.
  • The technician will put some cold jelly on the abdomen and press down with a probe to see the internal organs. The ultrasound technician may also use a vaginal probe inside the vagina to get a better look at the Fallopian tubes and ovaries. Neither of these studies should be painful.

Causes & Treatments for Multiple Miscarriages

While a pregnancy can easily be the best thing that has ever happened to a couple and brings a lot of joy to everyone connected, the situation could easily turn out to be a disastrous and emotionally very taxing one if things do not go too well during the pregnancy term. Miscarriages are a common problem that affects some women more than others, based on a number of medical and fitness complications.

.able to conceivev Studies have shown that miscarriages occur in almost 15 – 20% of all pregnancies and are more likely to take place in the first 3 months of the pregnancy than at any other stage of the termr In order to better understand the occurrence, we must understand the primary causese Chromosomal defects represent the most common cause of miscarriages and are essentially a problem with the chromosomes in the genetic materiala The conflict generally exists between the partners and it would be a very good idea for both partners to undergo a tests

Multiple Miscarriage Causes

Hormonal imbalances are part and parcel of a pregnancy, although sometimes they are the main cause of concernr

Multiple miscarriage treatment is not as straightforward as it may sound because of the fact that the condition is dependent on so many variable factorsr The essential effort to prevent a recurrence of a miscarriage would be to make every possible attempt to stay relaxed, well rested, hydrated and away from any infection or diseases It is highly suggested that you approach your doctor for more specific advice on how your should prevent a reoccurrence of miscarriages because of the fact that your doctor will have all your medical files and can easily draw out a medical plan that best suits your individual lifestyle and bill of healtht

Pregnancy and Miscarriage

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A miscarriage is the loss of a fetus before the 20th week of pregnancy. The medical term for a miscarriage is spontaneous abortion, but “spontaneous” is the key word here because the condition is not an abortion in the common definition of the term.

According to the March of Dimes, as many as 50% of all pregnancies end in miscarriage — most often before a woman misses a menstrual period or even knows she is pregnant. About 15-25% of recognized pregnancies will end in a miscarriage.

More than 80% of miscarriages occur within the first three months of pregnancy. Miscarriages are less likely to occur after 20 weeks gestation; these are termed late miscarriages.

What Are the Symptoms of a Miscarriage?

Symptoms of a miscarriage include:

If you experience the symptoms listed above, contact your obstetric health care provider right away. He or she will tell you to come in to the office or go to the emergency room.

What Causes Miscarriage?

Most miscarriages happen when the unborn baby has fatal genetic problems. Usually, these problems are unrelated to the mother.

Other causes of miscarriage include:

  • Infection
  • Medical conditions in the mother, such as diabetes or thyroid disease
  • Hormone problems
  • Immune system responses
  • Physical problems in the mother
  • Uterine abnormalities

A woman has a higher risk of miscarriage if she:

  • Is over age 35
  • Has certain diseases, such as diabetes or thyroid problems
  • Has had three or more miscarriages

A miscarriage sometimes happens because there is a weakness of the cervix, called an incompetent cervix, which cannot hold the pregnancy. A miscarriage from an incompetent cervix usually occurs in the second trimester.

There are usually few symptoms before a miscarriage caused by cervical insufficiency. A woman may feel sudden pressure, her “water” may break, and tissue from the fetus and placenta may be expelled without much pain. An incompetent cervix can usually be treated with a “circling” stitch in the cervix in the next pregnancy, usually around 12 weeks. The stitch holds the cervix closed until it is pulled out around the time of delivery. The stitch may also be placed even if there has not been a previous miscarriage if cervical insufficiency is discovered early enough, before a miscarriage does occur.

How Is a Miscarriage Diagnosed and Treated?

Your health care provider will perform a pelvic exam, an ultrasound test and bloodwork to confirm a miscarriage. If the miscarriage is complete and the uterus is empty, then no further treatment is usually required. Occasionally, the uterus is not completely emptied, so a dilation and curettage (D&C) procedure is performed. During this procedure, the cervix is dilated and any remaining fetal or placental tissue is gently removed from the uterus. As an alternative to a D&C, certain medications can be given to cause your body to expel the contents in the uterus. This option may be more ideal in someone who wants to avoid surgery and whose condition is otherwise stable.

Blood work to determine the amount of a pregnancy hormone (hCG) is checked to monitor the progress of the miscarriage.

When the bleeding stops, usually you will be able to continue with your normal activities. If the cervix is dilated, you may be diagnosed with an incompetent cervix and a procedure to close the cervix (called cerclage) may be performed if the pregnancy is still viable. If your blood type is Rh negative, your doctor may give you a blood product called Rh immune globulin (Rhogam). This prevents you from developing antibodies that could harm your baby as well as any of your future pregnancies.

Blood tests, genetic tests, or medication may be necessary if a woman has more than two miscarriages in a row (called recurrent miscarriage). Some diagnostic procedures used to evaluate the cause of repeated miscarriage include pelvic ultrasound, hysterosalpingogram (an X-ray of the uterus and fallopian tubes), and hysteroscopy (a test in which the doctor views the inside of the uterus with a thin, telescope-like device inserted through the vagina and cervix).

How Do I Know if I Had a Miscarriage?

Bleeding and mild discomfort are common symptoms after a miscarriage. If you have heavy bleeding with fever, chills, or pain, contact your health care provider right away. These may be signs of an infection.

Can I Get Pregnant Following a Miscarriage?

Yes. At least 85% of women who have miscarriages have subsequent normal pregnancies and births. Having a miscarriage does not necessarily mean you have a fertility problem. On the other hand, about 1%-2% of women may have repeated miscarriages (three or more). Some researchers believe this is related to an autoimmune response.

If you’ve had two miscarriages in a row, you should stop trying to conceive, use a form of birth control, and ask your health care provider to perform diagnostic tests to determine the cause of the miscarriages.

How Long Will I Have to Wait Before I Can Try Again?

Discuss the timing of your next pregnancy with your health care provider. Some health care providers recommend waiting a certain amount of time (from one menstrual cycle to 3 months) before trying to conceive again. To prevent another miscarriage, your health care provider may recommend treatment with progesterone, a hormone needed for implantation and early support of a pregnancy in the uterus.

Taking time to heal both physically and emotionally after a miscarriage is important. Above all, don’t blame yourself for the miscarriage. Counseling is available to help you cope with your loss. Pregnancy loss support groups may also be a valuable resource to you and your partner. Ask your health care provider for more information about these resources.

Can a Miscarriage Be Prevented?

Usually a miscarriage cannot be prevented and often occurs because the pregnancy is not normal. If a specific problem is identified with testing, then treatment options may be available.

Sometimes, treatment of a mother’s illness can improve the chances for a successful pregnancy.

Sources of information:

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