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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding Post Miscarriage?

I had a miscarriage on August 14th and I bled for two weeks and last Saturday I started bleeding again like a period with period symptoms.It seemed like it was trying to stop as i seen brown discharge i know normally see after a period but the bleeding has started again it is light now with no cramps but im still scared that it is retained tissue but I have tested twice since miscarriage and both times negative and no other symptoms of an infection.
Wed, 2 Nov 2016
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General & Family Physician 's  Response
Hello,
Thank you for your query.
Retained tissue need not always be associated with a positive test. The tests are usually negative.

I recommend :
-an OBGYN consult
-an ultrasound pelvis (Trans vaginal) to check for any retained tissue.
-a d&c (dilattaoand curettage) if required.
-blood tests (complete blood count, ending and clotting Time, prothrombin time)

Re bleeding could mean retained products. Risk of Infection is present. If you develop abdominal cramping, fever, foul smelling vaginal discharge, please see your doctor right away to treat a possible septic miscarriage which can become life threatening.

If no evidence of Infection, you may be given the option of expectant management (wait and watch). Please discuss with your doctor as soon as possible.

Hope this helps.
Please let me know if you need anything else.
Wish you good health
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What Causes Vaginal Bleeding Post Miscarriage?

Hello, Thank you for your query. Retained tissue need not always be associated with a positive test. The tests are usually negative. I recommend : -an OBGYN consult -an ultrasound pelvis (Trans vaginal) to check for any retained tissue. -a d&c (dilattaoand curettage) if required. -blood tests (complete blood count, ending and clotting Time, prothrombin time) Re bleeding could mean retained products. Risk of Infection is present. If you develop abdominal cramping, fever, foul smelling vaginal discharge, please see your doctor right away to treat a possible septic miscarriage which can become life threatening. If no evidence of Infection, you may be given the option of expectant management (wait and watch). Please discuss with your doctor as soon as possible. Hope this helps. Please let me know if you need anything else. Wish you good health