Talking About Miscarriage: Understanding Early Pregnancy Loss

Early pregnancy loss, commonly referred to as miscarriage, is far more common than many people realize. In fact, 1 in 4 known pregnancies end in miscarriage. And yet, it’s something that’s often met with silence. As therapists, we know how important it is to bring this conversation into the open—to help reduce stigma, create space for grief, and remind those who’ve experienced loss that they are not alone.

What is a miscarriage?

A miscarriage is the spontaneous loss of a pregnancy before 20 weeks gestation. It’s the body’s way of ending a pregnancy that, for various reasons, was not developing in a viable way. Most miscarriages occur within the first trimester, a time where there are rapid physiological changes. And while this is a medical event, it is also a deeply personal emotional experience.

Pregnancy, especially in the early stages, is often a time filled with hope, excitement, fear, anticipation, and uncertainty. When loss occurs during this vulnerable time, it can stir up a complex mix of emotions: sadness, shame, anger, guilt, even relief. All of these feelings are valid. Whatever you're feeling is real, and okay.

The uncertainty of early pregnancy

One of the most difficult parts of early pregnancy (and early pregnancy loss) is the waiting period. Many people have to wait until 8–10 weeks for their first ultrasound, and in that in-between time, you may be holding your breath, researching your symptoms on google, and wondering what’s happening inside your body. This uncertainty can be emotionally exhausting, especially once you learn what’s happening and you start to grieve something that’s hard to fully define or talk about. 

Adding to the emotional weight, fluctuating hormone levels are creating physiological changes like bloating, breast tenderness, indigestion, fatigue, and nausea that temporarily continue even after a loss happens. During this time, it can be especially hard to find an anchor—to feel grounded in your body or certain of what’s to come.

You don’t have to go through this alone

Miscarriage is not just a medical event—it’s a whole-person experience. It can touch on your sense of identity, your hopes for the future, and even your trust in your own body. That’s why emotional support is so important.

If you’re going through or have experienced a miscarriage, we want you to know: you are not alone. We are here to meet you where you are without judgment and at your own pace. Whether you’re feeling numb, overwhelmed, empty, or unsure of what you need, it’s okay. We're here to walk beside you through this experience.

Let’s start talking about miscarriage with more openness, care, and compassion. You deserve that space.