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Miscarriage is a tragedy that most couples bear alone. The situation can be even worse when after miscarriage the couple cannot conceive again. Fortunately, for many couples trying to conceive medication may restore fertility after the first pregnancy has ended. The most common reason couples have difficulty conceiving again after a miscarriage is the hormonal changes that occurred in the first pregnancy. After the fertilized egg implants itself in the lining of the uterus, a flood of estrogen encourages the growth of the placenta to nourish and protect the embryo. Without estrogen, pregnancy could not proceed.

All this estrogen also signals the ovaries that there is no need for ovulation. While follicles that were already maturing eggs for future possible pregnancies continue to develop, there are no hormonal signals for the release of the egg during the middle of the menstrual cycle. There is no ovulation because there is no menstruation. Sometimes after the first pregnancy ends, estrogen levels stay high. The ovaries "think" that the woman is still pregnant, so no egg is released. Medications like Clomid (clomidene sulphate), offered in the United Kingdom as Serophene, can manipulate hormonal balance so that the ovaries act as if a new pregnancy were possible and release the egg. It's not unusual for couples to start Clomid and also start the adoption process at the same time. It's not unheard of for couples to conceive a child at the same time they adopt. When this happens, the issue usually was high estrogen levels that were interfering with pregnancy.

It's also not unheard of for couples to conceive within just one menstrual cycle of the initiation of Clomid treatment, or within one menstrual cycle of receiving the right dose of Clomid. This medication can be just what is needed to conceive again after miscarriage. Not every woman will benefit from Clomid. A doctor's exam is essential. There is a minority of women who develop endometriosis after miscarriage, and this condition requires a different treatment strategy. For others, however, Clomid is the answer. The key to future family happiness is just be fully prepared for the treatment to work.

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