Post-Miscarriage Bleeding: Recovery and Next Steps

Light bleeding after a miscarriage?

I would like to ask about a sudden increase in bleeding on February 2nd, which was accompanied by blood clots.
I visited an obstetrician-gynecologist on February 3rd, and the doctor diagnosed a miscarriage.
Due to the continuous bleeding, I underwent a minor surgical procedure.
After the surgery, the bleeding reduced to the level of a panty liner.
The doctor prescribed medication for three days, but since I felt fine and the bleeding persisted, I did not take the medication.
During my follow-up appointment three days later, the ultrasound showed that my uterus was very clean.
I informed the doctor that I had no issues with recovery, so I did not take the prescribed medication, and the doctor agreed, advising me to rest well.
After that, I did not experience any further bleeding.
Starting on February 25th, I noticed a small amount of bleeding again, about the same as a panty liner, with occasional tiny blood clots.
This has continued until now, and I have not experienced any discomfort or pain.
Is this due to residual blood not being expelled, or could it be my menstrual period? Could it be related to fatigue from work and daily activities? Additionally, is it okay to occasionally drink Si Wu Tang (Four Substance Decoction) to help with recovery?

Jun Jun, 30~39 year old female. Ask Date: 2020/03/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors affecting intermenstrual bleeding are numerous.
After a miscarriage or childbirth, it is common to experience irregularities for some time.
Other causes include age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, lesions of the uterus or cervix, infections, ovulation, pregnancy, and breastfeeding, among others.
It is advisable to consult a gynecologist if symptoms persist or worsen to determine if there is a hormonal imbalance or other underlying issues.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2020/03/03

More Info

Post-miscarriage bleeding can be a concerning experience, and it's important to understand the recovery process and what steps to take next. Based on your description, it seems you experienced a miscarriage on February 2nd, followed by a surgical procedure to ensure the uterus was clear. After the procedure, you noted a significant decrease in bleeding, which is a positive sign indicating that your body is beginning to recover.

The bleeding you experienced after the miscarriage is not uncommon. After a miscarriage, it can take some time for the body to return to its normal state. The presence of small blood clots and light bleeding can occur as the uterus continues to expel any remaining tissue. The fact that your doctor performed an ultrasound and confirmed that your uterus was "very clean" is reassuring, as it indicates that there are no retained products of conception, which can lead to complications if left untreated.

Regarding your question about the ongoing light bleeding you experienced starting on February 25th, it is possible that this could be related to several factors:
1. Hormonal Changes: After a miscarriage, your hormone levels, particularly hCG (human chorionic gonadotropin), will take time to return to pre-pregnancy levels. This hormonal fluctuation can sometimes cause light bleeding or spotting.

2. Menstrual Cycle Resumption: The bleeding you are experiencing could also be an early sign of your menstrual cycle returning. It is not unusual for women to experience some irregularities in their cycles following a miscarriage.

3. Physical Activity and Stress: If you have been engaging in strenuous activities or experiencing stress, this could potentially affect your recovery and contribute to light bleeding. It is essential to listen to your body and allow yourself adequate rest during this time.

As for your question about consuming herbal remedies like "Si Wu Tang" (四物湯) or "Shiquan Dabu Tang" (十全湯) to aid in recovery, it is generally advisable to consult with your healthcare provider before starting any new supplements or herbal remedies, especially after a miscarriage. While these herbal formulas are traditionally used in Chinese medicine to help with recovery and replenish blood, individual responses can vary, and it is crucial to ensure they are appropriate for your specific situation.

In summary, the light bleeding you are experiencing could be a normal part of your recovery process, but it is always best to keep an open line of communication with your healthcare provider. If the bleeding increases, becomes painful, or if you have any other concerning symptoms, do not hesitate to reach out for further evaluation. Your health and well-being are paramount, and taking the time to rest and recover is essential.

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