Clinically reviewed by Dr. Ashlesha Patwardhan, Reproductive Health Doctor & Women's Health Researcher| Last reviewed: October 2025

After a miscarriage, the uterus and cervix are temporarily more vulnerable to infection (uterine infection, also called endometritis). While most people recover without complications, infection can occur if tissue remains or bacteria enter the uterus.

Common Signs of Infection

• Fever above 38°C

• Chills or flu-like symptoms

• Persistent or worsening abdominal pain

• Foul-smelling vaginal discharge

• Heavy or irregular bleeding after it had slowed

If you experience any of these, seek medical care promptly.

When Infection Happens

Infections most often develop within the first two days after a miscarriage, especially if tissue remains or bacteria enter the uterus during or after management.

• Incomplete miscarriage (retained tissue)

• Misoprostol or natural management if tissue doesn’t pass completely

• D&C (rarely, from bacteria entering during the procedure)

How It’s Treated

• Broad-spectrum antibiotics are commonly prescribed.

• If tissue remains, a D&C may be needed to clear the uterus.

• Most mild infections resolve within 7–10 days of antibiotic treatment.

Preventing Infection

• Avoid intercourse, tampons, or swimming until bleeding has stopped.

• Follow your provider’s aftercare instructions carefully.

• Go to follow-up appointments to confirm complete recovery.

• Avoid douching, which is a known risk factor for causing infections.

Emotional Side

Fear of infection can add to the distress of miscarriage. Many describe hyper-vigilance about every twinge:

“I couldn’t tell if I was still healing or if something was wrong.”

Remember — it’s okay to call your provider even if you’re unsure. Post-miscarriage anxiety or fear of complications is normal, and mental health support may help.

Key Takeaways

• Infection after miscarriage is uncommon but serious.

• Watch for fever, worsening pain, or foul-smelling discharge.

• Early treatment with antibiotics is highly effective.

• Trust your instincts — if something feels off, get checked.

Infection is one of the rarer complications of miscarriage. For guidance on when bleeding is a warning sign (vs. normal), read When Bleeding After Miscarriage Is Serious. For scheduling your follow-up to confirm the uterus has cleared, read When Should You Get a Check-Up After a Miscarriage?. For the full physical recovery guide, see What to Expect After a Miscarriage: Physical Recovery Guide.

Recovering from a miscarriage is physically and emotionally demanding. Sibyl is a private, confidential space to process everything you’re going through — not a replacement for medical care, but a supportive companion alongside it. Try Sibyl