Patient's question:
I am 30 years old. On the 16th day after the miscarriage, I started experiencing menstrual bleeding with a flow. By the 22nd day, I began taking uterine contraction medication, which reduced the blood flow but still left a small amount each day. On the 28th day, my period arrived, and by the 34th day, it had ended. Since then, I have had extremely small amounts of dark blood every day, and now it has been about 49 days. (During this time, I had vaginal ultrasound examinations on the 15th, 22nd, and 48th day. The doctor said there was nothing wrong, just hormonal imbalance after the miscarriage leading to persistent bleeding, shedding of the uterine lining, and residual blood clots that hadn't been fully expelled from the body.) Because I haven't had time to return to Korea, the doctors there advised against taking medication. After the miscarriage, besides the anti-inflammatory medication and the uterine contraction medication, the doctors did not recommend taking any other drugs. Is it really okay to have this constant leakage?Doctor's answer:
According to the situation you described. After the miscarriage, there has been continuous bleeding. I don't know how to test whether the hCG can drop to normal. If there is no problem with hCG, it may be an issue of endometrial repair. It is recommended to take short-term birth control pills for a cycle to repair the endometrium and see if there will still be bleeding after the menstrual period. It is best to have a color Doppler ultrasound examination to rule out the possibility of residual products in the uterine cavity and poor uterine contraction.