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Vicky asked...

Periods and conceiving

Hello,My husband and I have an 18 month old son - we conceived easily and in January conceived our second. Unfortunately this pregnancy ended in a missed miscarriage - discovered at 12 week scan but baby has died at 8 weeks. I had a d&c in March. My concern is that since then, after being regular before, my periods have been irregular and odd. My first was after 32 days and very light, then after 23 days and a bit heavier, then after just 16 days. This most recent one started and stopped after 3 days, then has come back three days later. I have also been feeling very tired and sick with sore breasts as of pregnant. My gp has sent me for a blood test to check hcg levels, though a urine pregnancy test was negative. I am desperate to conceive again but haven't a clue what's going on with my body. I've used ovulation sticks this month (the ones that show a 4 day window by detecting the estrogen rise before the Lh) and got a 'smiley face' today, but then came on my period again (after it stopped three days ago). Is all of this normal and is it still possible for me to conceive? Many thanks, Vicky

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The answer

Following miscarriage it can often take a few months for the body to recover and the hormone levels to normalise again hence why your menses are somewhat erratic in frequency, length and duration.

It is recommended that you allow the body 3 months to recuperate before trying to conceive to allow hormone levels to normalise again.

It is possible despite the miscarriage that your body can still ovulate even though your menses have not yet become regular again.

Your GP has done the right thing by checking your blood levels for BHCG as this will be able to accurately inform you if levels are rising which could indicate the presence of a pregnancy being present despite the initial urine based pregnancy test being negative.

If these blood tests are not totally conclusive your GP may suggest a follow up blood test to see if levels are changing further or send you for a scan.

If your tests come back negative we would encourage you to give your body time to adjust and also encourage you to commence taking folic acid and making sure your diet is optimum in order to help increase the chances of conceiving and carrying another baby.

The use of the ovulation test kits is also useful to help you establish the most likely time to conceive again.

Answered by the Health at Hand nurses

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