Prolonged Bleeding After Miscarriage: What to Expect and When to Worry - Obstetrics and Gynecology

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Continuous bleeding for over a month after a miscarriage?


I had a miscarriage on June 9 after taking medication.
During my follow-up appointment, the doctor mentioned that the embryo had passed.
I have been experiencing light bleeding since then and have returned for follow-up visits four times, each time receiving the same medication.
How much longer can I expect to bleed? Is this situation normal?

En En, 20~29 year old female. Ask Date: 2016/07/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, after taking RU486, it is necessary to return to your original obstetrics and gynecology clinic for follow-up examinations to confirm that everything has been expelled completely.
Generally, bleeding lasts about two weeks.
Since your duration has been a bit longer, I recommend returning to your original OB/GYN for a detailed check-up.
Wishing you good health.

Reply Date: 2016/07/19

More Info


Experiencing prolonged bleeding after a miscarriage can be concerning, and it's important to understand what to expect and when to seek further medical attention. In your case, since you mentioned that you had a miscarriage on June 9 and have been experiencing light bleeding since then, it is essential to consider several factors.

Firstly, it is not uncommon for women to experience bleeding for a few days to several weeks after a miscarriage. The duration and amount of bleeding can vary significantly from person to person. After a miscarriage, the body needs time to expel the remaining tissue and return to its normal state. Light bleeding or spotting can continue for a while as the uterus heals. However, if the bleeding is light and not accompanied by severe pain or other concerning symptoms, it may be considered normal.

That said, there are specific signs and symptoms that warrant immediate medical attention. You should contact your healthcare provider if you experience any of the following:
1. Heavy Bleeding: If you soak through a pad in an hour or less for two consecutive hours, this could indicate a problem that needs to be addressed.


2. Severe Pain: While some cramping can be expected, severe or worsening pain may indicate complications such as retained tissue or infection.

3. Fever or Chills: A fever could suggest an infection, which is a serious condition that requires prompt treatment.

4. Foul-Smelling Discharge: This could also be a sign of infection and should be evaluated by a healthcare professional.

5. Prolonged Bleeding: If the bleeding continues beyond a few weeks or if you have concerns about the duration of your bleeding, it is advisable to follow up with your doctor.

In terms of what to expect, the bleeding should gradually decrease over time. If you are still experiencing light bleeding after several weeks, it is essential to keep your healthcare provider informed. They may want to perform an ultrasound to ensure that there is no retained tissue in the uterus, which could lead to complications.

Additionally, it is crucial to take care of yourself during this time. Make sure you are resting, staying hydrated, and eating a balanced diet to support your body’s healing process. Emotional support is also important, as miscarriages can be emotionally challenging. Consider reaching out to friends, family, or support groups to help you cope with the emotional aspects of your experience.

In conclusion, while light bleeding after a miscarriage can be normal, it is essential to monitor your symptoms closely. If you notice any concerning signs or if the bleeding persists longer than expected, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and well-being are paramount, and seeking medical advice is always a prudent course of action when in doubt.

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