What is the reason for continuous bleeding after a miscarriage?

Patient's question:

More than a month after the miscarriage, I've been experiencing continuous bleeding. There's no remaining tissue inside the uterus, and even after taking Yunnan Baiyao capsules, the bleeding hasn't stopped.

Doctor's answer:

After a general medication-induced abortion, if there is persistent bleeding and no residual tissue in the uterine cavity, with uneven endometrial echoes, a diagnostic D&C (dilation and curettage) procedure is recommended. This can help identify the presence of endometrial inflammation and assist in medication application.
It is advisable to take anti-inflammatory medications and Ulsara (Progesterone) orally immediately after the procedure to support endometrial recovery. This is very necessary and the correct approach for a faster recovery.

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