Surely you have undergone a D&C or are planning to go through it after hearing this procedure from your healthcare provider. But wondering, How Soon After D&C Can You Get Pregnant or conceive. A general concern for every woman. Mostly the concern is about if the D&C procedure impacts fertility.
To understand How Soon After D&C Do You Get Pregnant, you must understand when your menstrual cycle returns to normal and the factors that may affect when you ovulate. In this discussion, we’ll explore the guidelines of safety concerns and safe time to conceive after D&C.
So conceiving after D&C isn’t rare nowadays. You are not alone because many women are successfully getting pregnant after D&C with the right information and support. So keep reading closely here.
What is D&C
First, you must know the Dilation and Curettage (D&C) procedure. Dilation means opening; it refers to the opening of the cervix. The cervix is the lower part of the uterus. So this lower part of the uterus opens into the vagina.
Now curettage means removing or scraping the abnormal tissue using a curette (scraping tool). This D&C procedure has been done for quite a few reasons, like abnormal vaginal bleeding, post-pregnancy bleeding, and as a treatment for miscarriage.
Dilation and curettage surgical procedure can be used to diagnose abnormal bleeding or other uterine conditions, as well as to remove tissue from the uterus following a miscarriage.
The dilation, or expansion, of the cervix, which is the long narrow end of the uterus that connects the rest of the uterus to the vagina, begins the procedure. After that, the doctor will gently scrape and remove the tissue that lines the uterus with a narrow spoon-shaped instrument called a curette.
Following a D&C, you may be eager to begin trying to conceive (or re-conceive). However, your doctor may advise you to wait a little longer for your body to heal and prepare for pregnancy. You should avoid vaginal intercourse for at least four weeks, but complete healing after a D&C may take longer.
In general, you shouldn’t be concerned about whether or not you’ll be able to conceive after a D&C. Except in rare cases, having a D&C should not affect your ability to become pregnant in the future. For example, Asherman syndrome refers to the development of intrauterine adhesions or scar tissue in the uterus. This may have an impact on your ability to conceive.
How Long After D&C Can You Get Pregnant
Miscarriage is not your fault. So whatever the emotion you may face, prepare yourself for the treatment you must. Though three treatments are available for early pregnancy loss, the most known ones are dilation and curettage.
After a miscarriage, most women are advised to wait one to three natural periods before attempting to conceive again. The waiting period allows the uterine lining to shed and become healthy again.
If you had a D&C procedure, your doctor may advise you to wait several months before trying again to allow your uterine lining to rebuild to normal levels.
The procedure is pretty common for all the ob-gyns, they use anesthesia that will make you fall asleep, or they use pain relieving sedation. So this process won’t give you any kind of pain. But sometimes women may go through light bleeding, cramping etc. during and after D&C.
Dr. Rebecca Cohen, a fellow of the American College of Obstetricians and Gynecologists, said, “light bleeding may continue more than 1 month.. Ob-gyn will prescribe an antibiotic to prevent the infection. Other complications rarely happen for D&C, that very few women go for follow up appointments.”
Physical Recovery Time After D&C
A successful pregnancy after D&C mostly depends on physical recovery. Most healthcare providers suggest having couple of days’ rest after the passing the tissue or D&C. After the miscarriage; the pregnancy symptoms don’t stop happening after two days of miscarriage. But the symptoms don’t show up, after D&C.
But, doctors always want to keep the infection level low, that’s why they suggest no douching, vaginal intercourse or tampons for a week. The spotting and light bleeding won’t stop until your first period will happen. It may take 2-3 months. So full physical recovery may need 2-3 months, daily work won’t be an issue after 1 week of D&C.
How Long Did It Take to Get Pregnant After D&C?
When did you get pregnant after D&C is a common question from women who go through dilation and curettage. Full physical recovery is a needed thing after D&C, so your light bleeding has to see an end and you must have a period after 2-3 months later. It’s the first condition.
Then comes the question, if you are fully physically recovered and have had your first menstruation, are you ready for conceiving again? No, you aren’t. Physically recovering after D&C doesn’t mean you are ready for getting pregnant again?
If a pregnancy occurs before the first normal menstrual cycle after a miscarriage or D&C, there appears to be a slightly increased risk of miscarriage. It is best to wait until you have had one normal menstrual period before attempting that cycle.
Ob-Gyn suggests most women wait at least three periods after a MMC or MC. This waiting is required to allow the uterus lining to shed and be healthy. But according to the women who actually went through D&C and had pregnancies afterward-
Maybebayg said on reddit,” she had an MMC in 2014, and got a D&C. Her Ob-gyn told her to wait for one month after the first period and then try again. But she got pregnant accidentally and had a healthy pregnancy of twins.”
Kteacher12 said in a community forum, “she had a D&C in August 2016, doctor told her to wait for 3 cycles before TTC again. So they started TTC after waiting 3 cycles and now she is currently blessed with a 30 weeks’ healthy baby girl on the day she commented.
So, 3 period cycles is the safest period to get pregnant again after D&C.
Can you have a successful pregnancy after D&C?
Having a D&C is unlikely to harm your chances of having a healthy pregnancy in the future, because your body is so good at healing itself. According to the American College of Obstetricians and Gynecologists, approximately 65 percent of women with unexplained recurrent pregnancy loss (defined as two or more miscarriages with no found cause) can expect a successful next pregnancy (ACOG).
If you’ve had a D&C, your chances of getting pregnant after a miscarriage appear to be similar. According to one study, nearly 90% of women who had undergone a D&C procedure were pregnant within a year of starting to try again.
How Can a D&C Affect the Future Pregnancy?
According to some studies, “D&C may rarely show higher rates of abortion, incompetent cervix, ectopic pregnancy etc.” You should keep in mind not all women who have done D&C may experience negative outcomes.
Pregnancy Concerns After The D&C
According to research, a history of D&Cs may increase the likelihood of a future preterm delivery. A 2016 meta-analysis examined the rate of preterm births among women who had undergone a D&C for a first-trimester miscarriage or pregnancy termination. They discovered that these women were more likely to have premature babies in the future. This study researchers urged to considering other possible options before opting for a D&C without caution.
Effect on fertility
D&C can affect fertility, causing damage to the uterus or cervix. D&C sometimes affects fertility. Like if you had any miscarriage or other pregnancy complications, D&C may cause hormonal imbalance. But your healthcare provider will know it before doing D&C.
This process removes abnormal tissues like fibroids or polyps. But if this process is not done carefully, it may cause uterine lining, making it difficult for fertilized eggs to implant.
Accidental Uterine Perforation
Complications come if D&C causes uterine perforation. The medical instruments may puncture the uterus accident, leading to a high risk of future pregnancy.
The Upside Down of D&C:
sometimes, D&C works as a treatment for infertility. Some women have polycystic ovary syndrome that may cause irregular menstruation and difficulty conceiving. In this case, D&C triggers the regular menstruation cycle and initiates the chances of ovulation and conception.
Pregnancy Data After D&C
So you already know getting pregnant after a miscarriage before the first period is not ideal in any case. It’s not only risky, but after an MMC or MC, you must take time to have some space and get out of the grief.
According to the research of Jennifer Lohmann-Bigelow (Department of Obstetrics and Gynecology), Sherri A. Longo (Department of Maternal/Fetal Medicine), Xiaozhang Jiang (Department of Biostatistics), Alfred G. Robichaux III (Department of Maternal/Fetal Medicine) all are from Ochsner Clinic Foundation, New Orleans, LA, the following research was done on 121 subsequent pregnancies who went through D&C from January 1, 2002 to December 31, 2006.
|Outcome||Number of Cases||Percentage|
|Spontaneous Vaginal Delivery||36||31.58%|
|Low Transverse Cesarean Sections||47||41.23%|
|Low Vertical Cesarean Sections||2||1.75%|
|Preterm Delivery (before 37 weeks)||14||15.22 %|
|Term Delivery (after 37 weeks)||78||84.78%|
|Vacuum-Assisted Vaginal Delivery||1||0.88%|
From the table, it is understandable among 100 women who go through D&C 31 of them may have a spontaneous vaginal delivery, and 84% of the women do timely delivery. Less than 15 women need vacuum-assisted delivery.
How quickly can you get pregnant after D&C?
According to the doctors, pregnancy immediately after D&C shouldn’t be an ideal case. They suggest 3 menstrual period cycles at least.
Are you super fertile after a D&C?
There is no research about it, but following the conversations in forum sites, you will get a vibe that the fertility rate may get higher.
How soon after D&C do you Ovulate?
It varies from woman to woman. It mostly depends on the woman’s age, reasons for D&C, and health. Ovulation may occur in the second week of D&C.
When the ideal time comes after D&C, it depends on your physical recovery and other things. You’ll keep seeing the doctor routine-wise after D&C, and after examining your physical and mental recovery, the Ob-gyn will allow you to conceive.
Try to get out the grief, anxiety, and other concerns at first, and try to read the women’s opinions from different forums about conceiving after D&C. You’ll find yourself confident enough, and by this time, your health will recover.
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