There are no pink ribbons to wear if you’ve had a miscarriage, no walkathons or T-shirts to encourage awareness and prevention. And to the extent that we have a language to talk about miscarriage, it’s full of airy platitudes: “Don’t worry, I had one once, too,” or “I had two, and then  poof  Davey was born, and he’s graduating from college this week.”

But until you belong to the imaginary club of Mothers Without Children, it is a secret planet of pain, all but invisible to the outside world.

I recently had my third miscarriage in a year. It happened early in the pregnancy, and it was dismissed as no big deal  “chemical pregnancy” seems to be the term of art. Let’s not overreact, no need for hysterics, keep moving. “We’ll treat it as though you’re just getting your period,” as my doctor put it.

But honestly, it is not just like getting your period. Psychologically, of course, it is nothing like it, but physically it is different, too. I had cramps for hours that left my ribs feeling bruised, and then four days later I was back at work and exhausted because I was still bleeding a lot  not an alarming amount, but enough to make me schedule meetings in rooms near bathrooms, and to send me home in the afternoon for a two-hour nap. I wonder how men would cope. All of the pain, mess, furtive tidying-up, shame and soldiering-on seem so fundamentally female to me.