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What Is a Miscarriage?
A miscarriage is the spontaneous loss of a pregnancy before 20 weeks. Most miscarriages happen in the first trimester, often before a person even knows they’re pregnant. Although incredibly painful, miscarriage is also very common—occurring in about 10–20% of known pregnancies.
Types of Miscarriage
- Chemical pregnancy – Happens very early, often before an ultrasound can detect a fetus.
- Missed miscarriage – The pregnancy has ended, but symptoms haven’t yet appeared.
- Incomplete miscarriage – Some tissue remains in the uterus and may require medical treatment.
- Complete miscarriage – All pregnancy tissue has passed naturally.
- Recurrent miscarriage – Two or more consecutive pregnancy losses.
What Causes a Miscarriage?
Most miscarriages are not caused by something a person did or didn’t do. Common causes include:
- Chromosomal abnormalities – Random errors during fertilization are the most frequent cause.
- Hormonal imbalances – Issues like low progesterone can impact implantation and early development.
- Uterine or cervical issues – Including fibroids, septate uterus, or cervical insufficiency.
- Chronic medical conditions – Such as uncontrolled diabetes, thyroid disease, or autoimmune disorders.
- Infections – Certain infections may increase the risk of pregnancy loss.
- Lifestyle factors – Smoking, heavy alcohol use, and illicit drug use can increase the risk.
Signs and Symptoms of Miscarriage
Common symptoms include:
- Vaginal bleeding or spotting
- Cramping or abdominal pain
- Passage of tissue or clots
- A sudden loss of pregnancy symptoms (like nausea or breast tenderness)
Not all bleeding during pregnancy means a miscarriage is happening, but it should always be evaluated by your OB/GYN.
What to Do If You Suspect a Miscarriage
If you notice signs of miscarriage, contact your OB/GYN immediately. At Cary OB/GYN, our team can perform an exam, ultrasound, or lab work to determine what’s happening. In some cases, the pregnancy may still be viable.
If a miscarriage is confirmed, options for care include:
- Expectant management – Allowing the body to complete the miscarriage naturally.
- Medication – To help the uterus pass remaining tissue.
- Procedure (D&C) – A minor surgical procedure to remove tissue if needed.
Emotional and Physical Recovery
Miscarriage is both a physical and emotional experience. Physically, recovery usually takes a few weeks. Emotionally, healing can take much longer. It’s normal to grieve, and support groups, counseling, or simply talking to your provider can be helpful.
If you’ve had more than one miscarriage, your provider may recommend testing to look for an underlying cause.
When to Try Again After Miscarriage
Most people can try again after one normal menstrual cycle, but timing depends on your physical and emotional recovery. Always speak with your provider before attempting to conceive again, especially after recurrent miscarriages.
Final Thoughts: You're Not Alone
Miscarriage can be an isolating and heartbreaking experience, but it is not uncommon—and it is not your fault. At Cary OB/GYN in North Carolina, we’re here to support you through loss, recovery, and future planning with compassion and expertise.
If you’re experiencing symptoms or need follow-up care after a pregnancy loss, please contact us today: https://www.caryobgyn.com/contactus/