Signs of Infertility After Miscarriage: What to Know and When to Seek Support

3 min read

Couple holding hands for emotional support after miscarriage
Couple holding hands for emotional support after miscarriage

Experiencing a miscarriage can be devastating—emotionally, physically, and mentally. And for many, one of the first questions that lingers is: Will this affect my ability to get pregnant again?

At fertie, we know this is one of the hardest and most uncertain parts of the journey. While many people go on to conceive successfully after a miscarriage, others may face new challenges when trying to get pregnant again. Knowing the signs of potential fertility issues—and when to seek support—can give you back a sense of clarity and control as you move forward.

Here’s what you need to know.

Can a Miscarriage Impact Future Fertility?

In most cases, having one miscarriage does not mean you’ll have trouble getting pregnant again.

  • About 1 in 5 pregnancies end in miscarriage, often due to chromosomal issues that are beyond anyone’s control.

  • Most people who experience miscarriage go on to have healthy pregnancies in the future.

But sometimes, a miscarriage can be a sign of an underlying health condition—or it can lead to physical changes that affect fertility.

Signs That May Indicate Fertility Challenges After Miscarriage

While every body heals differently, here are some signs it might be time to check in with a fertility specialist.

Irregular or Absent Periods

It’s normal for your cycle to take some time to regulate after a miscarriage. But if your periods haven’t returned within 6 to 8 weeks, or if your cycle becomes very irregular, it could point to a hormonal imbalance or a uterine issue that might affect ovulation and conception.

Hormonal Imbalances

Conditions like PCOS, thyroid disorders, or high prolactin levels can contribute to both miscarriage and difficulty conceiving again. If you notice symptoms like unusual weight gain, hair thinning, fatigue, or irregular cycles, it may be worth investigating with hormone testing.

Uterine Scarring (Asherman’s Syndrome)

In rare cases, a miscarriage—particularly if treated with a D&C (dilation and curettage) procedure—can lead to scarring inside the uterus, called Asherman’s Syndrome. This can make it harder for an embryo to implant or increase the risk of future pregnancy complications. If your periods are very light or stop altogether after a miscarriage, it’s worth asking about this.

Difficulty Conceiving Again

If you’ve been trying to conceive for 6 to 12 months after miscarriage without success (or 6 months if you’re over 35), it’s a good time to check in with a fertility specialist. They can help assess your ovarian reserve, uterine health, and partner factors, giving you a clearer picture of your fertility.

What You Can Do Next

Taking the next step after miscarriage can feel daunting, but you’re not alone. Here’s where to start:

  • Schedule a consultation with a fertility specialist. They may recommend tests like AMH, FSH, or an ultrasound to check ovarian reserve and uterine health.

  • Explore emotional support. Grief after miscarriage is complex. Counseling or support groups can offer a safe space to process feelings and find healing.

  • Consider lifestyle factors. Nutrition, movement, and stress management can all support fertility moving forward. Small changes can have a big impact.

Our Fertility 101 Course includes expert guidance on miscarriage recovery, fertility testing, and preparing for your next step—whether that’s trying again naturally, exploring IVF, or taking time to heal.

FAQs

Does one miscarriage mean I’ll have another?
No. Most people who experience one miscarriage go on to have healthy pregnancies. But if you’ve had two or more miscarriages, talk to your doctor about recurrent pregnancy loss testing.

How long should I wait before trying to conceive again?
Physically, many doctors suggest waiting for one or two menstrual cycles. Emotionally, take the time you need to feel ready.

Final Thoughts: You Are Not Alone

After miscarriage, it’s normal to feel worried about the future. But knowing the signs to look for—and when to seek support—can empower you to take the next step with clarity.

At fertie, we’re here to walk with you, no matter where you are on your journey.

👉 Explore our Fertility 101 Course or connect with our community for support, expert advice, and practical tools to guide your next chapter.

You don’t have to figure this alone

Inside fertie, you’ll get:

  • Expert-led courses to make informed decisions

  • Private support from women on the same path

  • Exclusive partner clinic perks & discounts

Disclaimer: This post is for educational purposes only and is not a substitute for medical advice. Always consult your healthcare provider for personalized guidance.