Q&A: I still have pain months after miscarriage. What could it be?
In November 2002 I became pregnant. During the pregnancy I started having pains in my left ovary. I miscarried at six weeks and there was no sign of a pregnancy in my uterus during an ultrasound I had done after I started bleeding. However, everything else looked normal. It was suggested that the pain could be caused by "adhesions" but I have never had this pain prior to the pregnancy. Is it possible for the pregnancy to have caused adhesions? Would these adhesions cause the miscarriage? And is it normal for the pain to continue six months past the miscarriage?
Pregnancy doesn’t cause adhesions, but this type of scar tissue is caused by infection, previous surgery, or endometriosis. Adhesions don’t cause miscarriage.
Having the pain six months after the miscarriage indicates that it is probaby coincidental with the pregnancy. After imaging tests (like ultrasound, MRI, or CT scans), the next step is a laparoscopy to look at the area and rule out endometriosis or adhesions. But only if you feel this pain is bad enough to warrant surgery for you. Ask your doctor for a conference to discuss the pros and cons of this next step versus just waiting it out.
By the way, waiting it out may pay off if it’s adhesions, because over time, adhesions usually get better of their own accord.