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Why is my first period so light after surgical management?

1 reply

fakeit2makeit · 15/09/2025 18:10

I had surgical management for MMC at 8weeks. I bled for 4 weeks before it was finally brought to an end by the procedure. After this is had very light bleeding / spotting for 5 days and then had absolutely nothing until 4 weeks later when I had one single streak of bright red blood on one single day … and then … nothing. For over a week I have been convinced I was experiencing PMS and cramping, and expecting my period to arrive any day. I felt so much sadness when I saw that blood, because it was triggering of my miscarriage and it really did make me feel like any memory of my baby was gone. But, then when it didn’t continue, I was heartbroken again, because we are so desperate to try again, and I am scared about what this means for my fertility. I am now 5 weeks post surgical management (vacuum aspiration under general) and all I can think about is the baby that I lost, and trying again for our rainbow baby. I did have a positive OPK just over a week after the op, and so that slight bleeding would have been about the right time, albeit longer than my usual cycle.

I have googled and googled and I am now worried I either have a thin endometrial lining or asherman’s syndrome, or I am just so stressed and emotionally rocked that my hormones are not right. The risks of asherman’s are very low with that type of procedure, but I can’t understand why I am having slight cramping, PMS, and why my OPK was positive (there was no hcg cross reactivity because I tested them when I had a roaring positive pregnancy test and they were negative).

Please tell me your experiences after surgical management (particularly vacuum aspiration) at similar gestation.

Thank you!!!

OP posts:
Summersun91 · 16/09/2025 14:18

Hi

I’m sorry for your loss and your drawn out experience. I had similar and when my period returned it was 2 days of brown spotting instead of 4/5 days of bleeding previously.

I would say to continue ovulation tracking and wait for your next period, as it may just be the first one is a bit messed up.

My period didn’t change and I had similar concerns as you, however on my 5th cycle I did conceive and had a healthy baby. So I am
not sure what to advise in terms of steps/tests if it continues. I was due to start IVF and was told they would check my lining then (but then fell pregnant).

Also to add I did subsequently find out I had Ashermans after another miscarriage (after my daughter) and further surgery (so don’t know exactly what caused it). So possibly I had it when I conceived my daughter and was just lucky to have a healthy pregnancy because I know it does cause fertility issues.

I hope everything resolves itself with your next cycle, sorry I can’t help further.

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