Medication Abortion: What to Expect After the Procedure - Obstetrics and Gynecology

More Info

---

Medication abortion, also known as medical abortion, is a safe and effective method for terminating a pregnancy, typically within the first ten weeks. It usually involves taking two different medications: mifepristone and misoprostol. After the procedure, it is common for individuals to experience a range of symptoms as their body adjusts and expels the pregnancy tissue.
Based on your description, it seems that you are experiencing a typical post-abortion process. Here are some insights regarding your concerns:
1. Lower Abdominal Pain: It is normal to experience some cramping and lower abdominal pain after a medication abortion. This pain can resemble menstrual cramps and is usually a sign that your uterus is contracting to expel the remaining tissue. The intensity of the pain can vary from person to person, and while it may be uncomfortable, it should not be severe. If the pain becomes unbearable or is accompanied by heavy bleeding (soaking through two or more pads in an hour for two consecutive hours), it is essential to seek medical attention. Given that you mentioned the pain is not very intense and is intermittent, it is likely a normal part of the recovery process.

2. Bleeding: The bleeding pattern you described—initially heavy with blood clots, followed by a gradual decrease—is also typical. After a medication abortion, it is common to have heavy bleeding for a few days, which then tapers off. The presence of blood clots can occur, especially in the first few days, as the body expels the pregnancy tissue. However, if you notice an increase in bleeding or large clots (larger than a golf ball), you should contact a healthcare provider.

3. Herbal Remedies: Regarding your question about drinking "生化湯" (a traditional Chinese herbal remedy), it is crucial to approach this with caution. While some individuals may seek herbal remedies for various reasons, it is essential to ensure that any herbal treatment does not interfere with your recovery process. Since you are still in the early stages of recovery, it is advisable to consult with a healthcare provider before consuming any herbal concoctions. They can provide guidance on whether it is safe based on your specific situation and ensure that it does not pose a risk of infection or complications.

4. Follow-Up Care: You mentioned that your doctor advised a follow-up appointment in two weeks. This is an important step in ensuring that the abortion was complete and that you are recovering well. During this appointment, your healthcare provider can assess your recovery, check for any signs of infection, and address any lingering concerns you may have.

5. Signs of Complications: While most individuals recover without complications, it is essential to be aware of signs that may indicate a problem. These include:
- Severe abdominal pain that does not improve with over-the-counter pain relief.

- Heavy bleeding (soaking through two or more pads in an hour for two consecutive hours).

- Fever or chills, which may indicate an infection.

- Foul-smelling discharge.

If you experience any of these symptoms, it is crucial to seek medical attention promptly.

In summary, the symptoms you are experiencing—lower abdominal pain and bleeding—are generally normal after a medication abortion. However, it is always best to err on the side of caution and consult with a healthcare professional if you have any concerns or if your symptoms change significantly. Your health and well-being are paramount, and follow-up care is an essential part of the recovery process.