Two Weeks of Bleeding After Miscarriage: Is It Normal?

Natural miscarriage after 8 weeks, with ongoing bleeding for two weeks?

Hello doctor, I have a question.
I had a miscarriage on June 21 at eight weeks gestation (there was never a heartbeat detected).
It has been two weeks since I started bleeding.
I had no bleeding for the past two days, and I have been taking herbal medicine and uterine contraction medication.
However, today I suddenly noticed some discharge, and when I wiped after using the restroom, it was pink in color.
Is this normal?

xiang zai huaiyun de mama, 20~29 year old female. Ask Date: 2015/07/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, if it was a natural miscarriage, you should have a doctor check to ensure that the miscarriage was complete.
If it was managed surgically, you can ask the surgeon to arrange for a urine test or ultrasound to determine if there is any residual tissue.
Additionally, it is advised to avoid alcohol, ginseng, and herbal supplements like Si Wu Tang until the bleeding has stopped.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2015/07/07

More Info

Experiencing bleeding two weeks after a miscarriage can be concerning, and it's understandable to have questions about what is considered normal during this time. After a miscarriage, it is common for women to experience a variety of symptoms, including bleeding, cramping, and changes in discharge.
In your case, you mentioned that you had a miscarriage at eight weeks and have been bleeding for two weeks. It’s important to note that the bleeding can vary significantly from one individual to another. Some women may experience heavy bleeding, while others may have lighter spotting. The color and consistency of the discharge can also change over time. Initially, you might notice bright red blood, which can transition to a darker color, such as brown or pink, as the body begins to clear out the pregnancy tissue.

The presence of pink discharge, as you described, can be a normal part of the healing process after a miscarriage. It may indicate that your body is expelling remaining tissue or that your hormone levels are adjusting back to pre-pregnancy levels. However, if the bleeding becomes heavy, or if you experience severe pain, fever, or any other concerning symptoms, it is crucial to seek medical attention promptly.
In the context of your situation, it is also worth mentioning that if you have been taking medications such as uterine contraction medications or herbal remedies, these can influence the bleeding patterns as well. While these treatments can help facilitate the expulsion of remaining tissue, they can also lead to fluctuations in bleeding.

It is essential to follow up with your healthcare provider, especially if you have concerns about whether the miscarriage was complete. An ultrasound may be necessary to ensure that there is no retained tissue in the uterus, which can lead to complications such as infection or prolonged bleeding.
In summary, while some bleeding and changes in discharge can be normal after a miscarriage, it is always best to consult with your healthcare provider for personalized advice and to ensure that everything is progressing as it should. They can provide you with the necessary examinations and reassurance during this emotionally and physically challenging time. Remember to take care of yourself and allow time for your body to heal.

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