Will there still be vaginal bleeding after a miscarriage?

Patient's question:

Hello, I had an abortion on May 30th and a medication-induced abortion on August 26th. Around the 10th of this month, I experienced vaginal bleeding due to taking short-acting birth control pills. It stopped around the 20th. Later, when we had sex, I didn’t use any contraception, and after that, I took emergency contraception (Postinor). Previously, I had taken Yasmin, and I would always bleed the second day after taking it. But this time, it’s been four days, and I haven’t bled yet. Also, I feel unusually clean. I think I might be pregnant again. Can I have an abortion? If I decide to keep the baby, will taking emergency contraception affect the baby?

Doctor's answer:

Hello, if there is bleeding that persists for more than 10 days after a miscarriage, it is necessary to have an ultrasound follow-up promptly to check if it is due to the possibility of intrauterine residue causing irregular vaginal bleeding.
Bleeding after an induced abortion is common, as it is caused by the small amount of bleeding left on the uterine wall after the placenta is detached during the procedure. This condition usually subsides gradually as the uterus contracts and the wound heals, with vaginal bleeding typically stopping within 3-5 days and not exceeding 10-15 days in most cases. However, if the bleeding lasts for more than 15 days and exceeds the amount of a normal menstrual period, it is abnormal, and medical attention should be sought promptly to determine the cause.

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