Expert: Nigel Simmons - 5/15/2007

Question
Hi,
My Wife had a misscarriage 4 weeks ago. Having misread the instructions she started taking the pill (microgynon 30) again 21 days after the misscarriage. At this point all bleeding had stopped. We used condoms for 7 days to avoid pregnancy. However she is now bleeding slightly (enough to leave marks in her knickers but not as heavy as a period.) Is this just the spotting that is to be expected when starting to take the pill and will her cycle settle down over time?

Thanks

Answer
Bob

I'm sorry for you both.

I suspect the spotting is just an effect from hormone levels returning to normal and will pass. However this is obviously a sensitive area and somewhat outside my sphere of expertise.

My suggestion would be to speak to your GP (or practice nurse) and seek their opinion. My major concern were if any of the miscarried fetus or placenta were to remain, becuase this could cause the symptoms and in such cases the risk of infection would be high. If your wife spikes a temperature then she should seek medical advice (GP or A&E) urgently. Otherwise a chat to the doctor before the end of this week should put minds at rest.

I hope this helps.