Medication Abortion: What to Expect After Miscarriage - Obstetrics and Gynecology

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Medication abortion


1.
The transparent object is likely the remnants of the gestational sac or other tissue from the pregnancy that has not fully expelled.

2.
The procedure of removing the transparent object through a vaginal examination is typically referred to as a dilation and curettage (D&C), which is considered an outpatient surgical procedure.
3.
It is generally recommended to wait at least one to three menstrual cycles before trying to conceive again, but it is best to consult with your healthcare provider for personalized advice based on your specific situation.

Gina, 30~39 year old female. Ask Date: 2020/02/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, the procedure performed and the material that was scraped out need to be clarified with the examining physician.
Generally, after a miscarriage, it is recommended to wait for three months before planning to conceive again.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2020/02/03

More Info


When it comes to medication abortion and the subsequent experiences, it’s essential to understand the process and what to expect afterward. Based on your situation, where you experienced a missed miscarriage at six weeks and received only the first dose of medication, here are some insights regarding your questions.

1. What is the transparent object?
The transparent object you mentioned could be a number of things. In the context of a miscarriage, it is likely to be a part of the gestational sac or other tissue that was present in the uterus. During a miscarriage, the body expels the contents of the uterus, which can include the gestational sac, placental tissue, and other materials. If the object was clear and gelatinous, it could be the remnants of the gestational sac, which is not uncommon during the process of miscarriage. However, it is crucial to follow up with your healthcare provider to ensure that everything has been expelled completely and to rule out any complications.

2. Is the internal examination and removal of the transparent object considered an outpatient procedure?
Yes, the internal examination and the removal of tissue from the uterus can be considered an outpatient procedure, especially if it was done in a clinic setting. This procedure is often referred to as a dilation and curettage (D&C) or a suction curettage, depending on the method used. It is typically performed to ensure that the uterus is clear of any remaining tissue after a miscarriage, which can help prevent complications such as infection or heavy bleeding. If your doctor performed this procedure, it would have been done to ensure your health and safety.

3. How long should you wait before trying to conceive again?
The general recommendation for trying to conceive after a miscarriage varies, but many healthcare providers suggest waiting for at least one menstrual cycle before attempting to conceive again. This allows your body to recover and for your menstrual cycle to regulate, which can help in dating a future pregnancy more accurately. However, some studies suggest that conceiving immediately after a miscarriage does not increase the risk of complications in subsequent pregnancies. Ultimately, the best course of action is to discuss your specific situation with your healthcare provider, who can give you personalized advice based on your health and recovery.

In summary, after a medication abortion or miscarriage, it is crucial to monitor your body’s response and communicate with your healthcare provider about any concerns. The transparent object you experienced is likely related to the miscarriage, and the procedure you underwent is a standard practice to ensure your health. As for future pregnancies, waiting for one cycle is a common recommendation, but individual circumstances may vary. Always consult with your healthcare provider for tailored advice and support.

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