Post-Miscarriage Bleeding: When to Seek Medical Advice

Miscarriage

Hello Doctor: I experienced pink discharge on July 13, and on July 18, I had heavy bleeding.
After seeing the doctor, I was informed that I had a miscarriage.
During my follow-up appointment on July 20, the doctor prescribed uterine contraction medication for me.
When I returned on July 23, the doctor performed an ultrasound and told me everything was clear.
However, I started bleeding again on July 30.
What could be the possible reasons for this, and should I schedule another appointment?

Miss Wang, 20~29 year old female. Ask Date: 2020/07/30

Dr. Cai Yonglong reply Obstetrics and Gynecology

Post-miscarriage bleeding may be due to poor contractions or other factors (such as endometrial polyps or ovulation).
Please visit a gynecology clinic.

Reply Date: 2020/07/30

More Info

After experiencing a miscarriage, it is not uncommon for women to have some bleeding as their body adjusts and recovers. However, the nature and timing of the bleeding can vary significantly from person to person. In your case, it seems that you had a significant amount of bleeding after your miscarriage, which was initially addressed by your doctor with medication to help the uterus contract and expel any remaining tissue. The follow-up ultrasound indicated that your uterus was clear, which is a positive sign.

However, the reoccurrence of bleeding on July 30th raises some important considerations. Here are some potential reasons for this new bleeding:
1. Incomplete Miscarriage: Even though the ultrasound indicated that your uterus was clear, there is a possibility that some tissue may have remained. This can lead to further bleeding as the body attempts to expel any remaining material.

2. Hormonal Changes: After a miscarriage, your hormone levels can fluctuate significantly. This can lead to irregular bleeding patterns as your body returns to its normal cycle.

3. Infection: In some cases, bleeding can be a sign of an infection in the uterus. Symptoms of infection may include fever, foul-smelling discharge, or severe abdominal pain. If you experience any of these symptoms, it is crucial to seek medical attention promptly.

4. Ovulation: Depending on where you are in your menstrual cycle, it is possible that the bleeding could be related to ovulation or the onset of your next period. However, this is less likely if the bleeding is significant.

5. Other Medical Conditions: There could be other underlying conditions that might cause bleeding, such as hormonal imbalances or issues with the cervix or uterus.

Given that you have experienced a new episode of bleeding after a recent miscarriage, it is advisable to consult your healthcare provider. They may recommend another ultrasound to ensure that there is no retained tissue and to rule out any complications. Additionally, they may want to check your hormone levels or perform other tests to determine the cause of the bleeding.

In summary, while some bleeding can be normal after a miscarriage, any new or significant bleeding should be evaluated by a healthcare professional. It is always better to err on the side of caution when it comes to your health, especially after experiencing a miscarriage. Your doctor can provide the best guidance based on your specific situation and medical history.

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