The time when menstruation resumes after a miscarriage is calculated from which day?

Patient's question:

Around one month after a miscarriage, when should the menstrual period be calculated from? Is it from the day the gestational sac was expelled or from the day there was no more bleeding? I expelled the gestational sac on the evening of the 3rd, and there was no more bleeding by the 18th. From which day should I start calculating my menstrual period? Medical consultation: I had a medication-induced miscarriage.

Doctor's answer:

From your description, it seems that the menstrual cycle is calculated starting from the first day of bleeding. However, after a miscarriage, the following menstrual cycles may be irregular for several months. In a normal menstrual cycle, being early or delayed by one week within the range is considered normal, with a duration of 2 to 8 days. Menstruation cannot be as precise as a clock, arriving exactly on time every month.

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