What should you know about prolonged bleeding after miscarriage?

Some bleeding and cramping can continue as the uterus passes pregnancy tissue and returns towards its usual state. The amount should generally trend down rather than become heavier. Ongoing bleeding can also occur when tissue remains in the uterus, when infection develops, or when a new pregnancy or another gynaecological problem needs consideration.

The appearance of blood alone cannot show which explanation applies. A clinician may ask about the pregnancy, bleeding pattern, pain, temperature, dizziness, and any treatment already received. A [Transvaginal Ultrasound](/treatments/diagnostics-and-imaging/transvaginal-ultrasound/) may help assess the uterus.

Contact the service that managed the miscarriage or a gynaecology team if bleeding is not easing, continues beyond the advice you were given, or returns after settling. Use pads so you can observe the flow, rest, drink fluids, and avoid putting anything in the vagina until a clinician confirms it is appropriate. Do not self-treat suspected infection.

Depending on the examination and scan, management may involve observation, medication, or a procedure. [Medical Management of Miscarriage](/treatments/medical-gynaecology/medical-management-of-miscarriage/) and [Surgical Management of Miscarriage](/treatments/gynaecological-surgery/surgical-management-of-miscarriage/) are options clinicians may discuss when tissue remains.

Seek emergency care for very heavy bleeding, fainting, severe or one-sided abdominal pain, shoulder-tip pain, marked weakness, fever with shivering, or feeling suddenly very unwell. Urgent review is also needed for worsening pain, foul-smelling discharge, or a positive pregnancy test after the miscarriage.

Ask whether your bleeding pattern is within the expected recovery range, whether an ultrasound is needed, and which treatment would be appropriate if tissue or infection is suspected.