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

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After undergoing a medical abortion, it is common to experience a range of symptoms, including bleeding and abdominal pain. However, the severity and duration of these symptoms can vary significantly from person to person. In your case, since you are experiencing persistent bleeding and severe abdominal pain three days after taking the second dose of the abortion medication, it is important to understand what these symptoms may indicate and when to seek medical attention.

Firstly, it is normal to have some bleeding after a medical abortion. This bleeding can last for several days to a few weeks and may vary in intensity. Initially, you might experience heavy bleeding similar to a menstrual period, which can taper off over time. However, if the bleeding is excessively heavy (soaking through two or more pads in an hour for two consecutive hours), it could indicate a complication such as retained products of conception or an incomplete abortion.

The abdominal pain you are experiencing can also be a common symptom following an abortion. This pain may be due to uterine contractions as your body expels the pregnancy tissue. Mild to moderate cramping is expected, but severe pain, especially if it is sudden and intense, can be concerning. Severe abdominal pain could suggest complications such as infection, retained tissue, or even an ectopic pregnancy if the pregnancy was not located within the uterus.

Given your symptoms of ongoing bleeding and severe abdominal pain, it is crucial to seek medical attention promptly. A healthcare provider can perform a physical examination, possibly including an ultrasound, to determine if there are any complications that need to be addressed. They will check for signs of infection, retained tissue, or any other issues that may require intervention.

In addition to the physical symptoms, it is also important to consider the emotional and psychological aspects of undergoing an abortion. Many individuals experience a range of emotions, including relief, sadness, or anxiety. If you find that your emotional well-being is affected, consider reaching out to a mental health professional or a support group.

In summary, while some bleeding and cramping can be expected after a medical abortion, the persistence of heavy bleeding and severe abdominal pain warrants immediate medical evaluation. Do not hesitate to contact your healthcare provider to discuss your symptoms and receive appropriate care. Your health and safety are paramount, and it is always better to err on the side of caution when it comes to your well-being.