Patient's question:
Three weeks ago, I was diagnosed with a natural miscarriage (the doctor said it was around one week of pregnancy, with a blood HCG level of 38), which is considered an early miscarriage. A week later, my blood HCG level was checked again and found to be 41, while the bleeding had stopped. The doctor said it was due to the body recovering, so the HCG level did not decrease. However, around the 22nd, I started bleeding again, but only slightly. Within three days, the bleeding increased to the same amount as my menstrual period. Four days later, the bleeding decreased until yesterday. But today, the bleeding has increased again, though it is still less than my menstrual flow. What could be the reason for this? Is this considered a menstrual period? My last menstrual period was on the 29th of September. (My usual menstrual period lasts for 5 to 6 days and occurs every 40 days.)Doctor's answer:
Hello, according to the situation you mentioned, the ultrasound examination shows a small amount of cystic material, but it is not known whether there are symptoms such as bleeding at the moment. If the bleeding after abortion is intermittent and persistent, and cannot be completely stopped, this condition may require a D&C treatment if the medication to promote blood circulation and remove blood stasis does not relieve the symptoms.Since it is a recent abortion event, I recommend taking some medication to promote blood circulation and remove blood stasis to regulate your condition first. Wait for about a week, and then have a follow-up ultrasound examination. At that time, the situation can be assessed to determine whether a D&C is necessary. For now, as long as the bleeding is not excessive, it is not necessary to have a D&C. It is important to pay attention to rest and maintain local hygiene. I hope my answer can help you.