Early Path Medical Consultation Services
Pathology Services Working for Safer Pregnancies

Glossary of Terms Frequently Asked Questions How to arrange a consultation What is Perinatal Pathology?

Antiphospholipids and Anticardiolipins

Blighted Ovum

Cervix

Chromosome Counts

Chromosonal Error

Clomid

Cord Accidents

Cytogenetics

D&C vs. Natural Miscarriage

HCG (Human Chorionic Gonadotropin)

Infections

Miscarriage Diagnosis

Perinatal Pathology & Maternal Disease

Ruptured Membranes

Thrombophilia

Tissue Studies

Trying Again

Frequently Asked Questions

When can I start trying again?

I tend to be somewhat conservative about interpregnancy intervals and, ideally, recommend a wait of three normal menstrual cycles. Some preliminary research suggests it takes that long for the uterine blood vessels to completely clean themselves out from the changes they've undergone in the previous pregnancy. "Dirty" (for lack of a better analogy) blood vessels may be more likely to clot and give problems to the next pregnancy. Waiting three cycles will ensure that your uterine lining is clean and fresh. It will also give you time to shore up your emotional reserves.

If three months is longer than you'd like to wait, it's very important to at least wait for your first normal cycle. This means you'll bleed and then wait 28 days or so and then bleed again. A normal cycle will let you know that your ovary has been exposed to a normal endocrine environment for one complete cycle. It also means that your uterine lining has had a chance to regrow. Of course, you might get pregnant and have a healthy pregnancy without waiting for your first normal menstrual cycle but, as a specialist who looks at tissue under the microscope, I've seen that uterine linings and their blood vessels do need some time to recover.

In addition, medical literature suggests some increased risk with short inter-pregnancy intervals. Human pregnancy has built-in risks (for example, there's always a chance of random wrong chromosome number accident) and I personally would not "volunteer" for additional risk by choosing short inter-pregnancy intervals.

 


DISCLAIMER: This communication is for educational purposes only and it is not to be used as a substitute for a consultation with your physician. Should you contact Dr. Salafia's office, any responses to you will be based on the information you provide and no attempt will be made to confirm or verify any such information, including any laboratory data you may submit. Questions regarding actual symptoms of illness or health conditions should be addressed to a local health care practitioner who can physically examine and take responsibility for your care throughout the course of your condition/illness, which Dr. Salafia, being a physician licensed to practice medicine only in the State of New York, cannot and will not do. You should NOT use this information to diagnose or treat a health problem; rather, you should consult a qualified health care provider who examines you in person and who is licensed to practice in the state where you are located.

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