How long does it take for a miscarriage to expel the gestational sac?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 20, 2024
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Under normal circumstances, in the case of a natural miscarriage, the gestational sac is usually expelled within one week, and the decidua tissue is also expelled within one week. If there is still bleeding more than one week after a natural miscarriage, it is imperative to visit a hospital for related examinations, typically requiring an ultrasound to observe the miscarriage situation. If the miscarriage is complete, then there are generally no major issues. However, if the miscarriage is incomplete, a dilation and curettage procedure may be necessary. It is possible for an incomplete miscarriage to occur naturally. Therefore, if there is still bleeding after one week, further examinations are necessary. In cases of natural miscarriage, it is usually advised to wait at least six months before trying to conceive again, and relevant examinations must be conducted before attempting again to determine the causes of the natural miscarriage and to treat accordingly.

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Written by Zhang Lu
Obstetrics
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What is the discharge from a natural miscarriage?

Miscarriage refers to the spontaneous expulsion of the gestational sac from the uterine cavity, without the need for human intervention. Human interventions mainly include medical abortion or painless surgical abortion. During a miscarriage, the gestational sac is expelled from the uterus, so the expelled material is primarily the gestational sac. The sac generally consists of white villous tissue, and during a natural miscarriage, it is essential to identify villous tissue in the pregnancy tissue in order to confirm a natural miscarriage. Besides the villous tissue, due to decidualization changes in the endometrium after pregnancy, the tissue expelled during a miscarriage also contains a certain amount of decidual tissue. Therefore, the material expelled in a natural miscarriage mainly includes the villous tissue, followed by uterine decidual tissue.

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Written by Du Rui Xia
Obstetrics
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How long after a natural miscarriage can one have sexual intercourse?

After a natural miscarriage, it is generally advisable to abstain from sexual intercourse for at least one month. Following a natural miscarriage, there are wounds inside the uterine cavity that need to heal through a restoration process continuously repairing the endometrium. Engaging in sexual intercourse too soon can increase the risk of infection. One month after a miscarriage, with a doctor's guidance and upon confirming that the body has recovered well through examinations, sexual intercourse can be resumed. Within the first month, it is crucial to prohibit sexual activities, including sitz baths and swimming, to reduce the chances of infections. Post-surgery, there should also be appropriate advisement. Both partners must take this matter seriously to avoid impacting future health.

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Written by Du Rui Xia
Obstetrics
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Will there be stomach pain during a natural miscarriage?

During a natural miscarriage, abdominal pain occurs due to uterine contractions. This pain is caused by localized ischemia and hypoxia in the uterus and is a common occurrence. During a miscarriage, the uterus needs to continually contract to expel the gestational sac and decidual tissues. However, this pain is generally slightly less severe than the pain experienced during childbirth. After the gestational sac is expelled, the pain usually diminishes. Post-miscarriage, abdominal pain typically persists for two to three days. Once the residual tissues are expelled, the extent of uterine contractions gradually decreases, and the abdominal pain will also ease.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 6sec home-news-image

How long does it take for a miscarriage to expel the gestational sac?

Under normal circumstances, in the case of a natural miscarriage, the gestational sac is usually expelled within one week, and the decidua tissue is also expelled within one week. If there is still bleeding more than one week after a natural miscarriage, it is imperative to visit a hospital for related examinations, typically requiring an ultrasound to observe the miscarriage situation. If the miscarriage is complete, then there are generally no major issues. However, if the miscarriage is incomplete, a dilation and curettage procedure may be necessary. It is possible for an incomplete miscarriage to occur naturally. Therefore, if there is still bleeding after one week, further examinations are necessary. In cases of natural miscarriage, it is usually advised to wait at least six months before trying to conceive again, and relevant examinations must be conducted before attempting again to determine the causes of the natural miscarriage and to treat accordingly.

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Written by Liu Wei Jie
Obstetrics
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How long after a natural miscarriage can one become pregnant?

Miscarriage naturally refers to the process where the embryo is spontaneously lost from the mother's body, this is called a natural miscarriage. After a natural miscarriage, the medical suggestion is to wait for six months before getting pregnant again; however, the current view is that waiting at least three months is also acceptable. In our clinical cases, there are instances where pregnancy occurs one month after a natural miscarriage. If there are no symptoms of physical discomfort after the miscarriage, and the follow-up ultrasound examination is normal, in fact, there is no specific mandated period to wait before becoming pregnant again after a natural miscarriage. Nevertheless, waiting at least three months primarily allows the endometrium sufficient time to fully recover.