Post-Miscarriage Bleeding: What to Expect Two Weeks Later - Obstetrics and Gynecology

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Bleeding two weeks after a miscarriage?


Hello Doctor: I had a miscarriage at 7 weeks on July 7.
I stopped bleeding on July 15, but I still tested positive with two lines on a urine test.
When I returned for a follow-up on July 15, the test was negative, and the doctor said everything had cleared out completely.
However, starting on July 25, I have been experiencing mild abdominal discomfort and a small amount of spotting (just a few drops), which does not resemble a menstrual period.
I have had sexual intercourse during this time.
Is this normal? It has been like this for three days now.

Zhen, 20~29 year old female. Ask Date: 2016/07/27

Dr. Lin Wenbin reply Obstetrics and Gynecology


Please return to the original attending physician for further evaluation, as it is easier to assess in conjunction with the original condition and the ultrasound examination.

Reply Date: 2016/07/27

More Info


After a miscarriage, it is common for women to experience a range of physical and emotional symptoms as their bodies adjust to the loss. In your case, it seems that you experienced a miscarriage at seven weeks on July 7, and by July 15, you had stopped bleeding, which is a positive sign indicating that your body was beginning to heal. The fact that a follow-up test showed no pregnancy hormones is also a good indication that the miscarriage was complete.

However, the symptoms you describe starting from July 25, including mild abdominal discomfort and light spotting, can be concerning. It is not unusual for some women to experience irregular bleeding or spotting after a miscarriage, especially if they have had sexual intercourse during this recovery period. The uterus may still be in the process of healing, and any physical activity, including sexual intercourse, can sometimes lead to light bleeding or discomfort.

Here are some important points to consider regarding your situation:
1. Timing of Recovery: After a miscarriage, the body typically takes time to return to its pre-pregnancy state. This can include hormonal changes, physical healing of the uterus, and the resumption of normal menstrual cycles. It is common for some women to experience spotting or light bleeding for a few weeks after a miscarriage, especially if they have had a recent pelvic exam or sexual intercourse.

2. Symptoms to Monitor: While light spotting can be normal, it is essential to monitor the amount and color of the discharge. If the bleeding becomes heavier, similar to a menstrual period, or if you experience severe pain, fever, or foul-smelling discharge, you should seek medical attention promptly. These could be signs of retained tissue or infection.

3. Follow-Up Care: Since you mentioned that you are experiencing mild abdominal discomfort, it may be beneficial to follow up with your healthcare provider. They can perform an examination to ensure that your uterus is healing properly and that there is no retained tissue. An ultrasound may be necessary if there are concerns about incomplete miscarriage or other complications.

4. Emotional Well-Being: It is also important to acknowledge the emotional impact of a miscarriage. Many women experience feelings of grief, sadness, or anxiety after such an event. It may be helpful to talk to a healthcare professional or a counselor who specializes in reproductive health to address any emotional concerns you may have.

5. Future Pregnancies: If you are considering trying to conceive again, it is generally recommended to wait until you have had at least one normal menstrual cycle before attempting to get pregnant again. This allows your body to recover and can help in dating a future pregnancy more accurately.

In summary, while light spotting and mild discomfort can be normal after a miscarriage, it is crucial to remain vigilant and consult your healthcare provider if you have any concerns. They can provide personalized advice and ensure that your recovery is progressing as expected. Remember to take care of both your physical and emotional health during this time.

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