RU486: Common Concerns and Questions Answered - Obstetrics and Gynecology

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RU486, also known as mifepristone, is a medication commonly used for medical abortion, often in combination with misoprostol (the "prostaglandin" you referred to as "前列腺"). It is essential to understand the process and the expected side effects when using this medication, as well as the importance of follow-up care.

1. Fluid Discharge After Taking RU486: It is not uncommon to experience a watery discharge after taking RU486. This can be part of the body's response to the medication as it begins to induce changes in the uterine lining. The discharge may vary in consistency and amount, and it can be a normal part of the process. However, if you experience any unusual symptoms such as a foul odor, severe pain, or fever, it is crucial to seek medical attention.

2. Bleeding Patterns: The bleeding you experienced starting on 3/26 is typical after taking RU486 and misoprostol. The initial bleeding can be light and may progress to heavier bleeding with clots, which is a normal part of the abortion process. The presence of blood clots is also common, especially in the early stages following the administration of these medications. It is important to monitor the bleeding; if it becomes excessively heavy (soaking through two or more pads in an hour for two consecutive hours), you should contact a healthcare provider immediately.

3. Completion of the Abortion Process: The fact that you took a third dose of misoprostol on 3/27 and noted that the bleeding was not heavy may indicate that the process is nearing completion. However, it is essential to follow up with your healthcare provider to confirm that the abortion is complete. They may recommend an ultrasound or a follow-up visit to ensure that there are no retained products of conception, which could lead to complications.

4. Sexual Activity Post-Abortion: It is generally advised to avoid sexual intercourse for at least two weeks following a medical abortion. This recommendation is to reduce the risk of infection and allow your body time to heal. Engaging in sexual activity too soon can increase the risk of complications, including infection and potential bleeding.

In summary, the experiences you described are within the range of normal responses to RU486 and misoprostol. However, it is vital to maintain communication with your healthcare provider throughout this process. They can provide personalized advice and ensure that you are monitored for any potential complications. If you have any concerns or if your symptoms change, do not hesitate to reach out for medical assistance. Your health and well-being are the top priority during this time.