Is it normal not to have a menstrual period 45 days after a miscarriage?

Patient's question:

I had a miscarriage due to an accident when I was two and a half months pregnant. It has been 45 days since the miscarriage, and I haven't had my period yet. Is that normal?

Doctor's answer:

Under normal circumstances, a miscarriage can be equivalent to one menstrual period. After a miscarriage, it is generally expected that menstruation should return about one month later. Currently, 45 days have passed since your miscarriage without menstruation. If you engage in sexual activity after the miscarriage, it could be a sign of continued pregnancy. However, it may also indicate menstrual irregularities. You need to visit a local hospital for an ultrasound examination and hormone testing to identify the cause. If it is not a case of pregnancy, you should actively pursue treatment to regulate your menstrual cycle.

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