Post-Abortion Issues
You are approximately five weeks pregnant.
On February 13, you took the first dose of medication for medical abortion, followed by the second dose on February 15.
During your follow-up appointment on February 19, it was confirmed that there was no visible embryo, and you were not scheduled for further visits.
On March 5, you noticed brown discharge, occasionally accompanied by blood, and you are experiencing pain in the lower left abdomen (which decreases when you apply pressure).
Is this a normal phenomenon? Between February 13 and mid-March, you did not lift heavy objects, but you were going to bed around 1 or 2 AM.
Juzi, 20~29 year old female. Ask Date: 2020/03/05
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Ms.
Ju: After a medical abortion, please pay attention to the following: (1) Bleeding duration (if it exceeds 14 days, please seek medical attention).
(2) Whether your next menstrual period has arrived after the abortion (it is recommended to return for a follow-up appointment 28 days post-abortion to confirm whether the abortion was complete).
Therefore, it is uncertain whether the bleeding and abdominal pain on March 5 are related to the abortion or menstruation.
It is advised that you return for an examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2020/03/05
More Info
After undergoing a medical abortion, it is common to experience a range of symptoms as your body adjusts and recovers. Based on your timeline and symptoms, let's break down what you might be experiencing and what is considered normal during this recovery phase.
Firstly, it is important to note that after a medical abortion, it is typical for some bleeding to occur. This bleeding can vary in color and intensity, often starting as bright red and then transitioning to a brownish color as the body expels the remaining tissue. The presence of brown discharge or spotting, especially if it is light, can be a normal part of the healing process. The fact that you are seeing coffee-colored discharge is not unusual, as this often indicates older blood that is being expelled from the uterus.
Regarding the abdominal pain you are experiencing, mild cramping or discomfort can also be expected after an abortion. This is due to the uterus contracting as it returns to its pre-pregnancy size. The fact that pressing on your abdomen reduces the pain may suggest that the discomfort is related to muscle tension or mild cramping rather than a more serious issue. However, if the pain becomes severe, persistent, or is accompanied by heavy bleeding (soaking through a pad in an hour), fever, or foul-smelling discharge, it is crucial to seek medical attention promptly, as these could be signs of complications such as infection or retained tissue.
Your sleep patterns and overall rest are also important during recovery. Lack of sleep can affect your body’s healing process, so it is advisable to prioritize rest and ensure you are getting enough sleep. Stress and fatigue can exacerbate physical symptoms, so creating a calming environment and practicing good sleep hygiene can be beneficial.
In terms of recovery time, it can vary from person to person. Generally, it may take a few weeks for your body to fully recover, and your menstrual cycle may take some time to return to normal. It is common for the first period after an abortion to be irregular or delayed, so patience is key.
If you have not already done so, consider scheduling a follow-up appointment with your healthcare provider. This visit can help ensure that your recovery is progressing as expected and that there are no complications. Your provider can also offer personalized advice based on your specific situation and symptoms.
In summary, while some bleeding and cramping are normal after a medical abortion, it is essential to monitor your symptoms closely. If you experience any concerning signs or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation. Your health and well-being are paramount, and professional guidance can help ensure a smooth recovery.
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