The best way to know if your uterus is clear after a miscarriage is to have an ultrasound scan, typically around two weeks after the miscarriage.
Monitoring Bleeding After Miscarriage
Initially after a miscarriage, bleeding is expected. However, the bleeding should significantly decrease and settle down completely within about two weeks. If bleeding persists or becomes heavy after this period, it could indicate that the uterus is not empty.
Ultrasound Scan for Confirmation
Why a Scan is Recommended
- Confirmation: An ultrasound scan is the most reliable way to confirm that the uterus is properly empty after a miscarriage.
- Identifying Retained Tissue: The scan can reveal if there is any remaining tissue from the pregnancy in the uterus that needs to be addressed.
- Peace of Mind: Having a scan can provide reassurance and closure during a difficult time.
What to Expect During the Scan
The scan is usually performed transvaginally, which involves inserting a small probe into the vagina. This allows for a clearer view of the uterus and helps to accurately determine if it is empty. The procedure is generally quick and not painful.
Timeline and Action Steps
| Timeline | Action |
|---|---|
| Immediately after miscarriage | Expect bleeding, similar to a heavy period. |
| Within Two Weeks | Bleeding should gradually reduce and settle down completely. |
| Two Weeks After | It is recommended to get an ultrasound scan at this point to check that the uterus is empty. |
What If the Scan Shows Retained Tissue?
If the ultrasound scan reveals retained tissue, your healthcare provider will discuss the appropriate next steps with you. This might include:
- Expectant Management: Allowing the body to naturally pass the tissue, usually with monitoring.
- Medical Management: Using medication to help the body expel the tissue.
- Surgical Management: A procedure, such as a D&C (dilation and curettage), to remove the remaining tissue.
In Summary
Checking if your uterus is clear after a miscarriage involves monitoring your bleeding and having an ultrasound scan around two weeks after the miscarriage to confirm an empty uterus. If there is any retained tissue, a healthcare professional can advise on the next steps.
