Post-Abortion Care After Using RU486: What to Expect - Obstetrics and Gynecology

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After using RU486 for a medical abortion, it's essential to understand what to expect during the recovery process and how to manage any lingering symptoms. Based on your situation, it seems you've experienced some common post-abortion symptoms, but there are a few important considerations to keep in mind.

Firstly, it is not uncommon to have some light bleeding or spotting after a medical abortion, even weeks after the procedure. This can manifest as brown discharge, which is typically old blood that is being expelled from the uterus. However, if you are still experiencing this discharge three weeks post-abortion, and especially if your ultrasound indicates that the uterus has not completely cleared, it is crucial to follow up with your healthcare provider.

The fact that you are still showing signs of pregnancy on a urine test is concerning and warrants further investigation. Incomplete abortion can lead to complications such as infection or prolonged bleeding, so it is wise to monitor your symptoms closely. If you continue to have abdominal pain, or if the bleeding becomes heavier or is accompanied by fever, foul-smelling discharge, or severe cramping, you should seek immediate medical attention.

Regarding your question about whether to continue observing your symptoms or to seek a second opinion, it is generally advisable to trust your healthcare provider's guidance, especially if they are monitoring your condition closely. However, if you feel uncomfortable or uncertain about the care you are receiving, it is absolutely within your rights to seek a second opinion. A different healthcare provider may offer additional insights or treatment options that could be beneficial.

In terms of post-abortion care, here are some general recommendations:
1. Rest and Recovery: Allow your body time to heal. Rest is crucial during this period, as your body is recovering from the hormonal changes and physical process of abortion.

2. Monitor Symptoms: Keep track of any symptoms you experience, including the amount and color of bleeding, pain levels, and any other unusual signs. This information can be helpful for your healthcare provider.

3. Avoid Certain Activities: It is advisable to avoid sexual intercourse, tampons, and douching for at least two weeks post-abortion to reduce the risk of infection.

4. Nutrition: Focus on a balanced diet that includes iron-rich foods (like leafy greens, beans, and lean meats) to help replenish your body. Staying hydrated is also important.

5. Follow-Up Appointments: Attend all scheduled follow-up appointments to ensure that your recovery is progressing as expected. If your provider has recommended further ultrasounds or tests, it’s essential to comply.

6. Emotional Support: Abortion can be an emotionally taxing experience. Consider seeking support from friends, family, or professional counseling if you find yourself struggling with feelings of sadness or anxiety.

In conclusion, while some post-abortion symptoms can be normal, persistent issues such as incomplete abortion or ongoing signs of pregnancy should be addressed promptly. If you have any doubts about your current treatment or recovery, do not hesitate to seek a second opinion for peace of mind and to ensure your health is prioritized. Your well-being is the most important factor during this recovery phase.