Can vaginal bleeding be considered as one menstrual period? Is it necessary to take traditional Chinese medicine to regulate it?

Patient's question:

Hello, I had a D&C last May 13th and took emergency contraception on the 28th. Today, June 2nd, I'm experiencing vaginal bleeding. Can this be considered a menstrual period? Do I need to take Chinese medicine to regulate it?

Doctor's answer:

First trimester miscarriage mainly occurs as cramping and vaginal bleeding before the 12th week of pregnancy. The main symptoms are light vaginal bleeding and mild lower abdominal pain. It is recommended to visit a hospital for an ultrasound to check if there are any remnants in the uterine cavity. If there are, it is best to perform a uterine evacuation, otherwise it may lead to prolonged bleeding, infection, and other conditions.