Post-Vacuum Induction Concerns: Pain and Bleeding

Issues Related to Induction After Vacuum Extraction

Hello! I underwent a vacuum aspiration procedure on the evening of May 1st.
On the afternoon of May 3rd, I experienced continuous abdominal pain and went to the original hospital for a check-up.
The doctor said the surgery was successful and that the pain was due to uterine contractions, which would improve in a few days.
Until last night, when I suddenly noticed some bright red blood while using the restroom, along with some discharge that I am unsure if it is mucus or some other foreign substance.
The bleeding is not continuous but occurs intermittently.
Could you please tell me what this issue might be? Is this a normal phenomenon? Will my menstrual period come about a month after the procedure?

w, 20~29 year old female. Ask Date: 2018/05/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On the evening of May 1st, I underwent a vacuum aspiration procedure.
On the afternoon of May 3rd, I experienced continuous abdominal pain and visited the original hospital.
The doctor stated that the surgery was successful and that the pain was due to uterine contractions, which would improve in a few days.
Until last night, when I went to the bathroom, I suddenly noticed some fresh blood, along with some discharge that I am unsure whether it is mucus or some other foreign material.
The bleeding is not continuous but occurs intermittently.
Could you please advise what this issue might be? Is this a normal phenomenon? Will my menstrual period return one month after the procedure? Answer: It is advisable to return for a follow-up appointment; it's always better to be cautious.

Reply Date: 2018/05/15

More Info

After undergoing a vacuum induction procedure on May 1st, it is not uncommon to experience abdominal pain and some bleeding in the days following the surgery. The pain you are feeling is likely due to the uterus contracting as it returns to its normal size after the procedure. This is a normal part of the healing process, and many women report similar sensations as their bodies adjust post-surgery.

Regarding the bleeding you mentioned, it is also typical to experience some vaginal bleeding or spotting after a vacuum induction. This bleeding can vary in color and consistency, and it may include small clots or tissue that can resemble discharge. The presence of fresh blood, especially if it is intermittent, can be concerning, but it is often a normal occurrence as the uterus sheds any remaining tissue and begins to heal. However, if the bleeding becomes heavy, is accompanied by severe pain, or includes large clots, it is crucial to seek medical attention promptly, as these could be signs of complications such as retained products of conception or infection.

As for your menstrual cycle, it is common for women to experience a delay in the return of their periods after a vacuum induction. Typically, menstruation may resume anywhere from four to six weeks post-procedure, but this can vary based on individual hormonal levels and overall health. If you do not have your period by six weeks, or if you have any concerns about your cycle, it would be advisable to consult with your healthcare provider.

In summary, while some pain and bleeding can be expected after a vacuum induction, it is essential to monitor your symptoms closely. If you notice any significant changes or have concerns about your recovery, do not hesitate to reach out to your healthcare provider for further evaluation and reassurance. They can provide personalized advice based on your specific situation and ensure that your recovery is progressing as it should.

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