What factors can cause the absence of menstruation after a miscarriage?

Patient's question:

On October 5th, I lost a child. On November 4th, I had an unusually heavy menstrual period. Now, as of December 5th, my period still hasn't come. I don't need to take care of the progesterone shot—what's going on?

Doctor's answer:

Based on your description, if you had sexual intercourse after your period on November 4th and have since had unprotected sex, you need to rule out the possibility of pregnancy. If you haven't had any sexual activity, a period that is one week early or late is considered normal. It is recommended that you wait and see. If you don't get your period after a week of delay, you can use progesterone to induce menstruation. If you don't want to have a child for now, make sure to prepare for breastfeeding and avoid taking birth control pills, as they can easily lead to menstrual irregularities.

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