Is uneven endometrium after miscarriage a concern?

After a miscarriage, uneven endometrium is usually not a concern if it's mild and short-term with no abnormal symptoms, as the body can often repair itself naturally. However, if the condition persists or is accompanied by bleeding or abdominal pain, it may indicate problems such as retained tissue in the uterine cavity or infection, which require more attention. If vaginal bleeding lasts longer than one week or abdominal pain worsens, prompt medical evaluation is recommended.

Short-term, mild endometrial irregularity often results from varying rates of local endometrial regeneration during the healing process after miscarriage. As hormone levels normalize, the endometrium typically becomes uniform again over time and generally does not significantly affect health; regular follow-up examinations are sufficient.

However, if uneven endometrium persists or is associated with prolonged vaginal bleeding, foul-smelling discharge, or abdominal pain, it could suggest retained products of conception, intrauterine infection, or endometrial adhesions. Without timely treatment, these conditions may interfere with the return of normal menstruation and even reduce the chances of future pregnancy.

After a miscarriage, consuming foods rich in high-quality protein—such as lean meat and eggs—can support bodily recovery. Maintaining a regular sleep schedule and avoiding late nights is beneficial. Daily cleaning of the external genital area with warm water and frequent changing of underwear can help reduce the risk of infection and promote endometrial healing.