Post-Abortion Symptoms: When to Seek Medical Help - Obstetrics and Gynecology

More Info

---

It's understandable to be concerned about your girlfriend's symptoms after taking RU486 (mifepristone) for a medical abortion. The process can vary significantly from person to person, and while some discomfort and bleeding are expected, there are certain signs that warrant immediate medical attention.

After taking RU486, it is common for women to experience cramping and bleeding as the body expels the pregnancy tissue. The severity of these symptoms can vary widely. In general, the following points can help you understand what is considered normal and when to seek medical help:
1. Bleeding: After taking RU486, heavy bleeding is expected, especially within the first 24 to 48 hours. This bleeding can include passing blood clots, which may be larger than a quarter. However, if your girlfriend is experiencing soaking through two or more pads in an hour for two consecutive hours, this is a sign of excessive bleeding and requires immediate medical attention.

2. Pain: Cramping is also a normal part of the process. However, if the pain becomes severe and is not relieved by over-the-counter pain medications (like ibuprofen or acetaminophen), or if it feels different from typical menstrual cramps, it could indicate a complication, such as an incomplete abortion or infection.

3. Signs of Infection: If your girlfriend develops a fever (temperature above 100.4°F or 38°C), chills, or foul-smelling discharge, these could be signs of an infection. Infections can occur after an abortion and require prompt treatment.

4. Duration of Symptoms: While cramping and bleeding can last for several days to a couple of weeks, if the symptoms worsen over time rather than improve, it is essential to consult a healthcare provider. Persistent or increasing pain and bleeding could indicate that not all of the pregnancy tissue has been expelled, which may require further medical intervention.

5. Follow-Up Care: It is crucial for your girlfriend to have a follow-up appointment with her healthcare provider within a week or two after taking the medication. This appointment is to ensure that the abortion was complete and to check for any complications.

In summary, while some bleeding and cramping are normal after taking RU486, you should seek medical help if your girlfriend experiences heavy bleeding, severe pain, signs of infection, or if her symptoms worsen over time. It’s always better to err on the side of caution when it comes to health concerns, especially after a medical procedure like an abortion. Encourage her to reach out to her healthcare provider for guidance and reassurance.