Your Menstrual Cycle After a Miscarriage: What to Expect - Obstetrics and Gynecology

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Menstrual Period After Miscarriage


Hello Doctor: I had a natural miscarriage on October 20th, and during my follow-up ultrasound on October 28th, it was confirmed that the embryo had passed.
I was scheduled to return this Friday for a urine test to confirm that everything had cleared out, but my period started today.
I would like to ask if this means that everything has cleared out.
Thank you!

Mei, 30~39 year old female. Ask Date: 2015/11/18

Dr. Lü Lizheng reply Obstetrics and Gynecology


It feels like my period has started, but sometimes it may not be a true menstruation; it could also be vaginal bleeding.
It's better to return for a follow-up appointment for confirmation.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/18

More Info


After experiencing a miscarriage, it is common to have questions about what to expect regarding your menstrual cycle and overall recovery. In your case, since you had a natural miscarriage on October 20 and your menstrual cycle started on October 28, it is understandable to wonder if this indicates that your body has returned to its normal state.

Firstly, it is important to note that after a miscarriage, the body goes through a significant hormonal and physical adjustment. The timing of your next menstrual period can vary widely from person to person. Some women may experience their first period within a few weeks after a miscarriage, while others may take longer. The onset of menstruation can be a sign that your body is returning to its pre-pregnancy state, but it does not necessarily confirm that all pregnancy tissue has been expelled.

In your situation, since you are experiencing menstrual bleeding shortly after your miscarriage, it could indicate that your body is beginning to regulate itself again. However, it is crucial to follow up with your healthcare provider to ensure that everything is proceeding as expected. They may recommend an ultrasound or other tests to confirm that there is no remaining tissue in the uterus, especially if you have concerns about incomplete miscarriage.

Additionally, it is essential to monitor your menstrual flow and any accompanying symptoms. If you experience heavy bleeding, severe pain, or any signs of infection (such as fever or foul-smelling discharge), you should seek medical attention promptly. These could be indicators that further evaluation or treatment is necessary.

Regarding the emotional aspect of recovery, it is also important to acknowledge that a miscarriage can be a deeply emotional experience. Many women may experience feelings of grief, sadness, or anxiety following a loss. It is beneficial to talk about these feelings with a trusted friend, family member, or mental health professional. Support groups for women who have experienced miscarriages can also provide comfort and understanding during this time.

In summary, while the onset of your menstrual cycle may suggest that your body is returning to normal, it is essential to consult with your healthcare provider to confirm that everything is as it should be following your miscarriage. They can provide personalized guidance and support as you navigate this recovery process. Remember to take care of both your physical and emotional health during this time, and do not hesitate to reach out for help if you need it.

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