How long is it normal to bleed after a natural miscarriage?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 10, 2024
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A natural miscarriage generally stops bleeding within a week; if the bleeding continues beyond a week, it is considered abnormal. This is because in most cases of natural miscarriage, the embryo and the decidua are expelled together, followed by uterine contractions, resulting in some vaginal bleeding. Normally, such bleeding should not persist beyond a week. If vaginal bleeding continues past this period, an ultrasound should be conducted to examine whether the uterine cavity is clean and free of any residual embryonic tissue. If remnants are found, it may be necessary to take some medications to promote blood circulation and remove the residual tissues.

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Written by Yue Hua
Obstetrics and Gynecology
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How long is it normal to bleed after a natural miscarriage?

A natural miscarriage generally stops bleeding within a week; if the bleeding continues beyond a week, it is considered abnormal. This is because in most cases of natural miscarriage, the embryo and the decidua are expelled together, followed by uterine contractions, resulting in some vaginal bleeding. Normally, such bleeding should not persist beyond a week. If vaginal bleeding continues past this period, an ultrasound should be conducted to examine whether the uterine cavity is clean and free of any residual embryonic tissue. If remnants are found, it may be necessary to take some medications to promote blood circulation and remove the residual tissues.

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Written by Yue Hua
Obstetrics and Gynecology
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How many days does the lochia last after a natural miscarriage?

Natural miscarriage generally cleans up the lochia in about a week. This is because natural miscarriage refers to the process where the embryo flows out from the uterine cavity on its own. Most people can completely clear out after a natural miscarriage, so the amount of bleeding is generally not very much, and the bleeding duration is not very long. If it is not clean after a week, it is necessary to consider whether it has not been completely cleared, and it is best to go to the hospital for an ultrasound to see if there are any issues with the uterus. Additionally, it is essential to rest and reduce activities after a natural miscarriage.

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Written by Zhang Lu
Obstetrics
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Spontaneous abortion embryonic pathological examination

After a natural miscarriage, pathological tests can be performed on the embryonic tissue. The main purposes of these tests include the following two aspects: First, to check if the chorionic villi in the embryonic tissue are edematous or if it is a hydatidiform mole. In cases of natural miscarriage, if it is a hydatidiform mole, it is necessary to determine whether it is a benign or malignant hydatidiform mole. If it is not a hydatidiform mole, it can be treated as a regular miscarriage. Secondly, testing the embryo can clarify the reasons for the miscarriage, such as checking the chromosomes of the embryo to determine if there are any issues with the chromosomes, which can be informative for the next pregnancy.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long does it take to get a period after a natural miscarriage?

For patients who have had a spontaneous miscarriage, if their menstrual cycle is usually regular, the first day of the spontaneous miscarriage is the time when their next period would begin. However, if the miscarriage is incomplete and a dilation and curettage (D&C) procedure is required, the first day after the D&C is considered the start date for the next menstrual cycle. Some people experience spontaneous miscarriages due to menstrual irregularities and an irregular menstrual cycle, which may be caused by hormonal imbalances. In such cases, the timing of the next period after a miscarriage is uncertain. If the menstrual cycle is regular, the next period can be estimated based on the aforementioned timings. However, if the cycle is irregular, the timing of the next period post-miscarriage primarily depends on the condition of the endometrium. If the endometrium has recovered to a thickness of 1.0 or more, menstruation is likely to occur. If the endometrial lining is thin, menstruation may not occur for the time being. Therefore, the length of time until menstruation resumes following a spontaneous miscarriage also requires monitoring of the hormonal balance and the regularity of the usual menstrual cycle.

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Written by Liu Wei Jie
Obstetrics
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What are the symptoms of a natural miscarriage?

What are the symptoms of a spontaneous miscarriage? Spontaneous miscarriage is a process where the embryo is lost from the mother's body. Before diagnosing a spontaneous miscarriage, it is first necessary to confirm an intrauterine pregnancy. After confirming the intrauterine pregnancy, symptoms include abdominal pain and heavy bleeding, which indicate a spontaneous miscarriage. The manifestations of a spontaneous miscarriage primarily include abdominal pain or bleeding, along with the expulsion of necrotic tissue-like material, which is the embryonic tissue. The symptoms are bleeding and abdominal pain. The symptoms of a spontaneous miscarriage are mainly distinguished from an ectopic pregnancy. An ectopic pregnancy can also present similarly, where an ultrasound fails to reveal a gestational sac, accompanied by abdominal pain and bleeding. Such scenarios should be considered for ectopic pregnancy, whereas abdominal pain and bleeding after confirming an intrauterine pregnancy indicates a spontaneous miscarriage.