What should I do if I haven't had my period after a natural miscarriage?

Patient's question:

At about two months into the pregnancy, I experienced another natural miscarriage. I went to the hospital to have a D&C procedure, and now I am resting at home in peace. After the miscarriage, it has been nearly 40 days and my period has not arrived yet. This makes me very anxious, worried that it might lead to gynecological diseases. What should I do if I haven't had my period for 40 days after a natural miscarriage?

Doctor's answer:

Natural abortion without menstruation for 40 days requires a thorough examination to determine the possibility of future pregnancy. If there are no other discomforts, it is advisable to wait and see for now.
About one month after a miscarriage, the uterus and endometrium can generally return to normal. It is recommended not to engage in normal sexual activity within the first month after the procedure.
If there has been a normal menstrual cycle after the surgery but it hasn’t returned, there is still a possibility of pregnancy. A thorough examination is needed to rule out pregnancy. If pregnancy is not confirmed, consider that the uterus and endometrium may not have fully recovered. Without discomfort, it is advisable to wait and see for now.

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