Patient's question:
Doctor: Hello! I had a miscarriage on November 4th. It was medication-induced first, followed by a D&C procedure. In the first few days after the surgery, there was more bleeding, but it has decreased since then. Recently, over the past four or five days, it has been even less, sometimes there is no bleeding at all in a day, and sometimes only once a day, with light red discharge. Yesterday, I went to the hospital for a follow-up check-up and had an ultrasound. The results showed no obvious abnormalities. The doctor said they need to check HCG. Is it necessary? What is the purpose? Additionally, the endometrial thickness is about 1.0 cm. Is this thickness normal?Doctor's answer:
Generally, after a miscarriage, menstruation usually returns around 40 days, but the timing can vary. Due to changes in hormone levels and damage to the endometrium during the procedure, most women's menstrual cycles are affected post-abortion. Some may experience an increase or decrease in menstrual flow, while others may have delayed periods, and various other changes. After such occurrences, it typically takes about 2-3 cycles for the menstrual cycle to gradually return to normal.Recommendation: If irregularity persists for a long time, it is advisable to visit a hospital for an ultrasound and sex hormone tests. Treatment can then be administered based on the test results.