Miscarriage: What to Do After a Natural Loss - Obstetrics and Gynecology

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Miscarriage


I had my last menstrual period on October 30, and after it ended, I started not using contraception.
On November 25, I took a home pregnancy test and got one strong line and one faint line.
In the evening, I went to the clinic for a urine test, which also showed one strong line and one faint line.
The doctor advised me to return for a follow-up in a week.
This morning, I experienced abdominal pain and bleeding, and when I went to the clinic, the urine test showed only one line.
The doctor said it was likely a natural miscarriage.

What tests can I do to understand my body's condition? The doctor mentioned to treat it as a menstrual period, and unless the bleeding continues for more than seven days, there is no need for special follow-up or further action.
Is that correct? If I hadn't taken a pregnancy test last week, wouldn't this miscarriage just be perceived as a regular menstrual period without my knowledge?
Thank you for your response.

Kele, 20~29 year old female. Ask Date: 2015/12/01

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, statistically, some married women experience a delayed menstrual cycle, and a portion of them, like you, may actually be undergoing early pregnancy followed by a miscarriage without realizing it.
At this point, you should just monitor the situation.
Wishing you good health.

Reply Date: 2015/12/01

More Info


I'm sorry to hear about your recent experience with miscarriage. It's a deeply personal and often painful journey, and it's important to acknowledge the emotional and physical aspects of this loss.
When it comes to understanding what to do after a natural loss, there are several considerations to keep in mind. First and foremost, it's crucial to allow yourself to grieve. Miscarriage can be a significant emotional event, and it's normal to feel a range of emotions, including sadness, anger, confusion, and even guilt. Seeking support from friends, family, or support groups can be beneficial during this time.

Regarding your physical health, your doctor’s advice to treat the situation as a regular menstrual cycle is common practice, especially if the bleeding is not excessive and you are not experiencing severe pain. In many cases, if a miscarriage occurs early in pregnancy, it may be indistinguishable from a regular period without the need for extensive medical intervention. However, if you experience prolonged bleeding (more than a week), severe pain, or any signs of infection (such as fever or foul-smelling discharge), it is essential to seek medical attention promptly.

In terms of follow-up care, while your doctor may not recommend additional tests immediately, it can be helpful to monitor your body’s response. If you have concerns about your menstrual cycle returning to normal or if you experience irregularities in your next periods, you should consult your healthcare provider. They may suggest tests such as blood work to check your hormone levels or an ultrasound to ensure that your uterus is clear of any remaining tissue.

If you had not taken a pregnancy test prior to the miscarriage, it is possible that you might have mistaken the loss for a regular period. This is not uncommon, as many women may not realize they are pregnant until after a miscarriage occurs. If you suspect you may have had a miscarriage, it’s always a good idea to discuss this with your healthcare provider, who can provide guidance and support.

In the future, if you are trying to conceive again, it may be beneficial to track your menstrual cycle and ovulation. This can help you understand your body better and identify any potential issues early on. Additionally, if you experience recurrent miscarriages, your doctor may recommend further evaluation to rule out any underlying health conditions that could affect your pregnancies.

Lastly, remember that healing—both physically and emotionally—takes time. It’s important to be gentle with yourself during this process. If you find that your feelings of sadness or anxiety persist, consider reaching out to a mental health professional who can provide support tailored to your needs.

In summary, while your doctor’s advice to treat the situation as a regular menstrual cycle is appropriate under certain circumstances, it’s essential to remain vigilant about your health and seek help if needed. Allow yourself the space to grieve and heal, and don’t hesitate to reach out for support from healthcare professionals or loved ones during this challenging time.

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