Post-Abortion Symptoms: What to Expect After 21 Days - Obstetrics and Gynecology

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After undergoing a vacuum aspiration abortion on September 29, it is common to experience a range of symptoms and changes in your body as it adjusts post-procedure. Given your timeline and the symptoms you described, let's break down what you might expect and what could be happening.


Post-Abortion Symptoms
1. Bleeding: After an abortion, it's typical to experience some bleeding, often referred to as "lochia." This bleeding can vary in amount and duration. Initially, it may be similar to a menstrual period, but it can taper off over the following weeks. However, if you notice a sudden increase in bleeding, especially if it is accompanied by clots or severe pain, it is essential to consult a healthcare provider.
2. Pain and Cramping: Experiencing cramping similar to menstrual cramps is also common after an abortion. This is due to the uterus contracting as it returns to its pre-pregnancy size. However, if the pain becomes severe or is accompanied by heavy bleeding, it could indicate complications such as retained tissue or infection.

3. Hormonal Changes: Stopping birth control pills can lead to hormonal fluctuations, which may cause irregular bleeding or changes in your menstrual cycle. Since you mentioned experiencing migraines after taking the pills, it's possible that discontinuing them could also affect your symptoms.


Your Specific Situation
Given that you stopped taking the birth control pills on October 14 and then experienced an increase in bleeding on October 17, this could be attributed to several factors:
- Hormonal Adjustment: Your body may be adjusting to the absence of hormonal contraception, which can lead to breakthrough bleeding or changes in your menstrual cycle.

- Post-Abortion Recovery: The increase in bleeding could also be part of your body’s recovery process after the abortion. If the bleeding is heavier than a typical menstrual period or if you are passing large clots, it is advisable to seek medical attention.

- Possible Complications: While many women experience normal recovery, complications can occur. Retained products of conception can lead to increased bleeding and cramping. If you suspect this might be the case, it is crucial to get evaluated by a healthcare professional.


Recommendations
1. Monitor Symptoms: Keep track of your bleeding patterns, pain levels, and any other symptoms you may experience. If you notice any significant changes, such as soaking through a pad in an hour or severe pain, seek medical care immediately.

2. Consult a Healthcare Provider: Given your concerns about the bleeding and the fact that you recently stopped taking birth control, it would be wise to consult with your healthcare provider. They can perform an examination, possibly including an ultrasound, to ensure that your uterus is healing properly and that there are no complications.

3. Avoid Self-Diagnosis: While it’s helpful to research and understand your symptoms, self-diagnosing can lead to unnecessary anxiety. Always consult a healthcare professional for an accurate diagnosis and treatment plan.

4. Rest and Recovery: Ensure you are taking care of yourself during this recovery period. Rest, stay hydrated, and listen to your body. If you feel unwell or overly fatigued, it’s essential to take it easy and allow your body to heal.

In summary, while some bleeding and cramping are normal after an abortion, significant changes in your symptoms warrant a medical evaluation. Your health and well-being are paramount, so don’t hesitate to reach out for professional guidance.