Post-Miscarriage Bleeding: When to Seek Help

Bleeding after a miscarriage?

Hello, I had a natural miscarriage in mid-February, and by March 1, I had stopped bleeding.
However, on the evening of March 3, I noticed bleeding again, which stopped the next day.
After having sexual intercourse on March 5, I experienced bleeding again, but there is no abdominal pain.
What should I do in this situation? Is this considered normal?

Cai Cai, 30~39 year old female. Ask Date: 2017/03/05

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I'm sorry that I cannot provide a diagnosis based on what you've described.
Sometimes, abnormal bleeding can occur right after a miscarriage.
If you are still experiencing discomfort, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2017/03/05

More Info

After experiencing a miscarriage, it is not uncommon for women to have some bleeding as their body adjusts and recovers. However, understanding the nature of this bleeding and knowing when to seek medical help is crucial for your health and well-being.

In your case, it seems that you had a natural miscarriage in mid-February, and by March 1, you had stopped bleeding. The subsequent bleeding you experienced on March 3 and after sexual intercourse on March 5 raises some important considerations.
Firstly, it is essential to differentiate between normal post-miscarriage bleeding and potential complications. After a miscarriage, it is typical for women to experience light bleeding or spotting for a few days to a couple of weeks. This bleeding is usually a result of the body expelling any remaining tissue and the hormonal changes that follow the loss of pregnancy.

However, if you notice any of the following signs, it is crucial to seek medical attention:
1. Heavy Bleeding: If you are soaking through a pad or tampon every hour for two consecutive hours, this is considered heavy bleeding and warrants immediate medical evaluation.

2. Severe Pain: While you mentioned that you are not experiencing abdominal pain, any sudden onset of severe pain could indicate complications such as retained tissue or infection.

3. Foul-Smelling Discharge: If you notice any unusual or foul-smelling discharge, this could be a sign of infection.

4. Fever: A fever over 100.4°F (38°C) could indicate an infection and should be evaluated by a healthcare provider.

5. Prolonged Bleeding: If the bleeding continues for more than a couple of weeks or if it becomes heavier after initially tapering off, it is advisable to consult with a healthcare professional.

Regarding the bleeding after sexual intercourse, it is not uncommon for women to experience some spotting or light bleeding after sex, especially following a miscarriage. This can be due to several factors, including sensitivity of the cervix or vaginal walls during the healing process. However, if the bleeding persists or is accompanied by pain, it is best to consult with your healthcare provider.

In summary, while some bleeding after a miscarriage can be normal, it is essential to monitor the amount, duration, and any accompanying symptoms. If you have concerns about your bleeding or if you experience any of the warning signs mentioned above, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide you with the necessary support and care to ensure your recovery is on track.

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