Questions After Miscarriage: Recovery and Next Steps Explained - Obstetrics and Gynecology

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Questions After a Miscarriage


Hello, Doctor: I would like to ask about my situation.
After my natural miscarriage, the doctor prescribed me uterine contraction medication for three days.
During my second follow-up appointment a week later, the doctor mentioned that there was only a little lochia left and prescribed another three days of uterine contraction medication along with hemostatic medication.
The doctor also said I could start drinking herbal soup for recovery, but I'm unsure if my lochia will be completely expelled after finishing these three days of medication.
Do I need to return for a follow-up examination? The doctor did not indicate that I should come back for a check-up.
Additionally, how long should I wait before resuming sexual intercourse?

Xuan Xuan, 20~29 year old female. Ask Date: 2016/02/24

Dr. Lin Manying reply Obstetrics and Gynecology


The bleeding duration from a natural miscarriage may be longer than a menstrual period (less than 14 days).
If it lasts longer than 14 days and there is the presence of lochia, it is advisable to return for a follow-up appointment.
Regarding sexual activity, if there are no symptoms of pelvic or bladder inflammation, it may be considered.

Reply Date: 2016/02/24

More Info


After a miscarriage, it is common for women to have questions regarding recovery and the next steps to take. Your situation, involving the use of uterine contraction medication and the monitoring of lochia (the vaginal discharge following childbirth or miscarriage), is a typical part of the post-miscarriage care process.

Firstly, it’s important to understand that after a miscarriage, the body goes through a natural recovery process. The use of uterine contraction medications is aimed at helping the uterus return to its pre-pregnancy size and to expel any remaining tissue. The fact that your doctor noted only a small amount of lochia remaining is a positive sign, indicating that your body is likely healing well.

Regarding your concern about whether you need to return for a follow-up check after completing the medication, it is generally advisable to have a follow-up appointment if you have any lingering concerns or if the lochia does not seem to be decreasing as expected. While your doctor may not have specifically instructed you to return, if you experience any unusual symptoms such as heavy bleeding, severe pain, or fever, you should seek medical attention promptly. It’s always better to err on the side of caution when it comes to your health.

As for resuming sexual activity, most healthcare providers recommend waiting until you have completed your recovery and have had a follow-up appointment, which typically occurs about two weeks after the miscarriage. This allows your body time to heal and reduces the risk of infection. However, the exact timeline can vary based on individual circumstances, so it’s best to consult with your healthcare provider for personalized advice. They can give you the green light based on your specific recovery progress.

In addition to physical recovery, emotional healing is also an important aspect following a miscarriage. It’s normal to experience a range of emotions, including sadness, anger, or confusion. Seeking support from friends, family, or professional counseling can be beneficial during this time.

If you are considering trying to conceive again, it’s generally recommended to wait at least one menstrual cycle after a miscarriage. This allows your body to fully recover and can help ensure a healthier pregnancy in the future. However, many women do conceive successfully shortly after a miscarriage, so it’s essential to discuss your plans with your healthcare provider.

In summary, while your recovery seems to be progressing well, it’s important to listen to your body and communicate with your healthcare provider about any concerns. Follow their guidance regarding medications, follow-up appointments, and when to resume sexual activity. Remember, every woman’s experience is unique, and your health and well-being should always come first.

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