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What Causes Prolonged Vaginal Bleeding Post Miscarriage?

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Posted on Wed, 10 Jun 2015
Question: I first visited the doctor in december before planning for a baby and found out that I had hypothyroidism and PCOS, for which I was under medication(and still am) (thyronorm 50mcg and Metaformin) and then I conceived with in three months, and this ended up as a Partial molar pregnancy.I had a missed miscarriage and a partial molar pregnancy in march and underwent a D&C procedure for the same reason on the 1st of april. Post which I had bleeding for couple of days and then it stopped, meanwhile, I am having weekly blood tests done for the beta Hcg- which was 150000 before D&c and now stands at 3.7, but i had my periods again on 4th may, and has not stopped since... I am having kind of heavy bleeding every day from past 15 days, when I asked my gynaec she said there was nothing to worry, also a couple of my other friends as well said that nothing to worry as Our uterus is shedding all the unwanted stuffs from the previous pregnancy, but I am not really convinced, Is there a particular reason to have heavy bleeding for almost 15days + post D&C? or is it that I need an immediate medical attention? Also, I am not passing anything other than just blood, not much of clots either.Also at the moment I am under XXXXXXX medication.Please provide suggestions asap.


Regards,
XXXX
doctor
Answered by Dr. Manisha Jain (39 minutes later)
Brief Answer:
Most likely nothing to worry

Detailed Answer:
Hello mam, thanks for trusting health care magic.
I understand your anxiety related to the issue.
As long as bHCG is normal there is nothing much to worry.
And if the bleeding you are having ranges from just 1-2 pads a day it is alright, just give it time and it will subside.
But in case you have heavier bleeding and experiencing weakness then you need tablets to stop bleeding for which I usually give tranexemic acid tablets thrice a day.
But before taking the tablets (in case you have heavy bleeding) get an ultrasound done to see retained products in the uterine cavity and then discuss with your gynecologist if findings on ultrasound demand repeat d&c or just tranexemic acid will serve the purpose.
You can discuss anything with me further anytime.
Regards
Dr Manisha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (1 hour later)
Thanks a lot doctor,
Also is there a way that I can reduce the flow through my food intake? Like a few say avoid Iron rich food as it increases the blood flow and some say have Iron rich food so that the bleeding will stop soon, I am unable to come to a conclusion. What care should I take in terms of food intake for this period.

Regards

XXXX
doctor
Answered by Dr. Manisha Jain (3 hours later)
Brief Answer:
precautions advised

Detailed Answer:
Hi, XXXXXXX there is no foodstuff which can increase or decrease the uterine bleeding.
And Iron should be taken to increase the formation of blood components and thus make up the loss of blood in uterine bleeding so far.
So jeep taking green leafy vegetables, pomegranate, guava, apples and jaggery.
At the same time, taking sour stuff like lemonade or orange juice along with these foodstuffs increases the absorption of iron.
Take ample amount of water daily.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Causes Prolonged Vaginal Bleeding Post Miscarriage?

Brief Answer: Most likely nothing to worry Detailed Answer: Hello mam, thanks for trusting health care magic. I understand your anxiety related to the issue. As long as bHCG is normal there is nothing much to worry. And if the bleeding you are having ranges from just 1-2 pads a day it is alright, just give it time and it will subside. But in case you have heavier bleeding and experiencing weakness then you need tablets to stop bleeding for which I usually give tranexemic acid tablets thrice a day. But before taking the tablets (in case you have heavy bleeding) get an ultrasound done to see retained products in the uterine cavity and then discuss with your gynecologist if findings on ultrasound demand repeat d&c or just tranexemic acid will serve the purpose. You can discuss anything with me further anytime. Regards Dr Manisha