Post-Medication Abortion Bleeding: When to Seek Help - Obstetrics and Gynecology

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After a medical abortion, it is common for individuals to experience some bleeding as the body expels the remaining tissue and returns to its normal state. The bleeding, known as lochia, can vary in color and amount over time. In your case, you mentioned experiencing light pink and brownish discharge, which is generally considered normal as the body heals. However, the fact that you are noticing an increase in bleeding and suspect it may resemble your menstrual cycle raises some important considerations.

1. Understanding Lochia: After a medical abortion, lochia typically progresses from bright red (lochia rubra) to pink or brown (lochia serosa) and eventually to a yellowish-white color (lochia alba) as healing occurs. The duration of lochia can vary, but it usually lasts for about two to six weeks. If you are still experiencing light bleeding, it may be a part of this normal progression. However, if the bleeding suddenly increases or changes significantly, it could indicate a complication.

2. When to Seek Medical Attention: It is crucial to monitor your symptoms closely. You should seek immediate medical attention if you experience any of the following:
- Heavy bleeding (soaking through a pad in an hour or less)
- Severe abdominal pain or cramping that does not improve with over-the-counter pain relief
- Fever or chills, which may indicate an infection
- Foul-smelling discharge
- Dizziness or fainting, which could suggest significant blood loss
Given that you are experiencing an increase in bleeding and are uncertain about its nature, it would be prudent to consult with your healthcare provider. They may recommend an ultrasound or other diagnostic tests to ensure that there are no retained products of conception or other complications.

3. Use of Herbal Remedies: Regarding your question about taking herbal remedies like "生化湯" (Shenghua Decoction), it is essential to approach this with caution. While some individuals may seek herbal treatments for various reasons, it is crucial to consult with your healthcare provider before starting any new medication or herbal remedy, especially after a medical procedure. Some herbs may interact with medications or may not be appropriate given your current condition.

4. Follow-Up Care: Since you have been experiencing ongoing symptoms, it is advisable to have a follow-up appointment with your healthcare provider. They can assess your situation more thoroughly and determine if further intervention is necessary. If your provider feels that your symptoms warrant it, they may refer you to a larger hospital for more specialized care.

In summary, while some bleeding after a medical abortion is normal, any significant changes in the amount or nature of the bleeding should be evaluated by a healthcare professional. It is always better to err on the side of caution when it comes to your health, especially after a medical procedure. Please reach out to your healthcare provider for personalized advice and to discuss your symptoms further.