Post-Medication Abortion Symptoms and Menstrual Cycle Changes - Obstetrics and Gynecology

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After undergoing a medical abortion using RU486, it is common to experience a variety of symptoms and changes in your menstrual cycle. The questions you've raised indicate concerns about ongoing symptoms, such as brown discharge, elevated body temperature, and the timing of your next menstrual period. Let's break down these concerns based on medical knowledge.

1. Post-Abortion Symptoms: After taking RU486, it is normal to experience bleeding and discharge for several weeks. The brown discharge you are observing is likely old blood, which can occur as the uterus sheds its lining. This can last for a few weeks, and it is not unusual for it to be intermittent. If the discharge is minimal and not accompanied by severe pain or fever, it is generally considered normal.

2. Elevated Body Temperature and Sweating: An increase in body temperature and night sweats can be concerning. While hormonal changes after an abortion can cause fluctuations in body temperature, persistent high fever or significant sweating could indicate an infection, such as endometritis (inflammation of the uterine lining). If you experience these symptoms consistently, it is advisable to consult a healthcare provider for further evaluation.

3. Exercise and Discharge: Engaging in physical activity can sometimes lead to increased discharge due to the movement of blood and fluids within the pelvic region. If you notice a slight increase in brown discharge after exercising, it may not be alarming, but it is essential to monitor the volume and any accompanying symptoms.

4. Hormonal Medications: Taking estrogen or other hormonal medications can indeed affect your body temperature and may lead to symptoms like sweating. Hormones play a significant role in regulating your menstrual cycle and can cause changes in your body’s thermoregulation. If you are experiencing side effects that are bothersome, discussing them with your healthcare provider is crucial.

5. Next Menstrual Period: The timing of your next menstrual period can be unpredictable after a medical abortion. It typically takes a few weeks for your cycle to normalize. If you had your abortion on November 19, you might expect your next period around December 19, but this can vary widely. The presence of brown discharge does not necessarily mean your period will be delayed, but it can indicate that your body is still adjusting after the abortion.

6. Concerns about Chronic Conditions: If you are worried about chronic endometrial conditions, such as chronic endometritis, it is essential to discuss your symptoms with a healthcare provider. They may recommend an ultrasound or other diagnostic tests to evaluate the health of your uterus and rule out any complications.

In summary, while some symptoms you are experiencing can be normal after a medical abortion, it is essential to remain vigilant about any changes in your health. If you have persistent symptoms, such as high fever, significant pain, or heavy bleeding, seeking medical attention is crucial. Your healthcare provider can offer personalized advice and treatment options based on your specific situation. Always prioritize open communication with your healthcare team to ensure your health and well-being during this time.