Post-Abortion Bleeding: Concerns and Treatment Options

Post-abortion bleeding for over a month?

Hello doctor, I received my first dose on November 1st and my second dose on November 3rd.
I continued to experience bleeding until the end of the month, so I went for a follow-up appointment and was prescribed some medication, but the bleeding did not stop.
I went for another check-up and received more medication.
Eventually, I had one day without bleeding, but the next day I experienced heavy bleeding again.
I switched to a different obstetrician-gynecologist, who said everything was clear, and prescribed me oral contraceptives to take for a month.
Is it safe for me to take them? Could this be due to irregular menstruation, or is there another issue? Thank you.

@, 20~29 year old female. Ask Date: 2017/12/07

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On November 1st, I received the first dose, and on November 3rd, I received the second dose.
I continued to experience bleeding until the end of the month, so I went for a follow-up appointment and was prescribed more medication, but the bleeding did not stop.
After another visit, I was given additional medication.
Eventually, I had one day without bleeding, but the next day I experienced heavy bleeding again.
I switched to a different obstetrician-gynecologist, who confirmed that everything was clear.
The doctor prescribed me oral contraceptives to take for one month.
Is it safe for me to take them? Could this be due to irregular menstruation, or is there another issue?
Answer: After switching to a different obstetrician-gynecologist, the doctor confirmed that everything was clear.
Therefore, the bleeding is likely due to irregular menstruation.
It is safe for you to take the oral contraceptives for one month.

Reply Date: 2017/12/07

More Info

Post-abortion bleeding is a common concern for many women, and it can lead to anxiety about potential complications or underlying issues. After a medical abortion, it is not unusual for women to experience bleeding for several weeks. This bleeding can vary in intensity and duration, and it is important to understand what is considered normal and when to seek further medical attention.

In your case, it seems that you have been experiencing prolonged bleeding since your abortion on November 1st, with continued bleeding even after receiving medication. It is essential to monitor the amount and nature of the bleeding. Light spotting can be normal, but heavy bleeding, especially if it resembles a menstrual flow or includes large clots, may indicate a problem such as retained products of conception or an incomplete abortion.
The fact that you have sought medical attention multiple times and have been prescribed medication indicates that your healthcare providers are taking your symptoms seriously. If your doctor has confirmed that your uterus is clear, this is a positive sign. However, if you continue to experience heavy bleeding or if you notice any concerning symptoms such as severe pain, fever, or foul-smelling discharge, it is crucial to return to your healthcare provider for further evaluation.

Regarding the prescription of birth control pills, it is generally safe to start hormonal contraception after an abortion, provided that your healthcare provider has assessed your overall health and determined that it is appropriate for you. Birth control pills can help regulate your menstrual cycle and may reduce the risk of heavy bleeding in the future. However, it is essential to discuss any concerns you have about starting the pill with your doctor, especially if you are still experiencing abnormal bleeding.

The irregular bleeding you are experiencing could be related to hormonal fluctuations following the abortion. After a pregnancy, the body undergoes significant hormonal changes as it returns to its pre-pregnancy state. This can lead to irregular menstrual cycles for a few months. If your bleeding is due to hormonal imbalances, starting birth control pills may help stabilize your cycle.

In summary, while post-abortion bleeding can be concerning, it is essential to communicate openly with your healthcare provider about your symptoms and any changes you experience. If you have been advised that your uterus is clear and you are otherwise healthy, starting birth control pills may be a beneficial step. However, continue to monitor your bleeding and seek medical advice if you have any doubts or if your symptoms worsen. Your health and well-being are paramount, and it is always better to err on the side of caution when it comes to your reproductive health.

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