What should you know about the uterus after miscarriage?

The uterus may feel crampy as it contracts and clears pregnancy tissue. Bleeding can resemble a heavy period at first and then become lighter. Pregnancy symptoms may fade gradually. A follow-up assessment helps confirm that the miscarriage is complete and checks for infection or tissue remaining in the uterus.

Emotional recovery can take longer than physical recovery. Grief, numbness, anxiety or relief are all possible responses, and none determines whether the pregnancy loss was your fault.

Rest when you need to, drink fluids and use period-style protection so you can observe the bleeding. Follow the discharge instructions you were given and attend any planned review. A [Transvaginal Ultrasound](/treatments/diagnostics-and-imaging/transvaginal-ultrasound/) may help check the uterus. If tissue remains, a clinician may discuss [Medical Management of Miscarriage](/treatments/medical-gynaecology/medical-management-of-miscarriage/) or [Surgical Management of Miscarriage](/treatments/gynaecological-surgery/surgical-management-of-miscarriage/).

Seek urgent care for very heavy bleeding, faintness, severe or one-sided pain, fever, chills, foul-smelling discharge or feeling increasingly unwell. Contact your maternity or gynaecology team if bleeding or pain is not easing, or if pregnancy symptoms continue and you have not had follow-up.

Ask whether the miscarriage is complete, whether you need an ultrasound or blood tests, and which symptoms require immediate help. Ask when you can expect your next period, when sex and exercise are comfortable, and what support is available for grief.