When can I get pregnant after a miscarriage?

I am often asked by my patients “When can I get pregnant after a miscarriage? ”

The “can I?” question is sometimes confusing and has usually several different components:

  1. How long should I wait after experiencing an early pregnancy loss or miscarriage before getting pregnant again?
  2. When does fertility begin after a miscarriage?
  3. Are there complications if I get pregnant too early after a miscarriage?
  4. Am I more likely to miscarry again after a miscarriage?
  5. When it is safe to get pregnant again after a miscarriage?

Before I answer these questions, it is important for couples to understand what a miscarriage, specifically an early miscarriage is. An early pregnancy loss or miscarriage happens usually during the first 8-12 weeks of the pregnancy, but some physicians extend this period up to 20 weeks.

Fertility equals ovulation, and ovulation can be expected within 4-6 weeks after a pregnancy loss, though it can occur as early as 2 weeks after the loss. Fertility, therefore, begins as early as 2 weeks after a loss.

In the past, doctors suggested for patients to wait at least 3 months after an early pregnancy loss before trying to conceive and get pregnant. But recent studies have confirmed that women who wait 3 months or less after a loss had higher live birth rates when compared to women who waited longer, notably if the wait was over 12 months then fecundability decreased significantly when compared to waiting 0-3 or 3-6 months.  

So there is the answer. After an early pregnancy loss or miscarriage, you should try and get pregnant within 3 months to improve your chances of having a live birth.