Delayed Reaction After Medical Abortion: Why Am I Still Testing Positive?

Delayed reaction after medical abortion, but still testing positive for pregnancy?

Hello Dr.
Huang, I have some questions to ask you.
I underwent a medical abortion on March 30.
The doctor said that the gestational age was suitable for medication, so I took the first dose as instructed by the doctor, followed by the second dose two days later.
After a week, during my follow-up appointment, I found out that the abortion had not been successful.
Subsequently, I used suppositories and took medication to help with the expulsion.
The doctor mentioned that I had a delayed reaction.
However, I forgot to mention that until my follow-up on April 26, the doctor performed an ultrasound and said that everything was cleared out, but the pregnancy test still showed two lines.
The doctor prescribed me medication to help with uterine contractions.
During this period, I did not engage in sexual intercourse.
I would like to ask:
1.
If everything has been cleared out, why does the pregnancy test still show two lines? Does this mean it is not completely cleared? Will it expel on its own?
2.
Currently, I have no bleeding and do not feel uncomfortable or have any odor, but I do have some discharge; is this normal?
3.
During the time until everything is cleared out, is my delayed reaction to the medication abnormal? Should I go to a gynecological hospital for an examination?
4.
When can I expect my next period? Will this affect my ability to conceive in the future?
5.
Should I switch to another obstetrics and gynecology clinic to check if everything in my uterus is clear?
6.
Do I need to replenish my body? Are there any dietary considerations I should be aware of, or foods I should avoid?
Thank you, Dr.
Huang, for your response.
This has been troubling me for a long time, and I sincerely ask for your reply.

Sung, 30~39 year old female. Ask Date: 2021/05/11

Dr. Huang Yuande reply Obstetrics and Gynecology

1.
Ultrasound examination is merely a representation of imaging and should still be based on blood tests or urine tests.
In fact, using medication for abortion can sometimes result in a positive test up to a month later, so continuous monitoring is necessary.
2.
If there is excessive discharge, medical attention is required.
3.
This is a common phenomenon, as mentioned earlier.
4.
Generally, it takes about 4 to 5 weeks.
5.
This needs to be discussed with your physician.
6.
There is no need for additional supplementation.

Reply Date: 2021/05/11

More Info

After a medical abortion, it is not uncommon for individuals to experience confusion and anxiety regarding their recovery and the results of pregnancy tests. Let's address your questions one by one, providing clarity and guidance based on medical knowledge.

1. Why does the pregnancy test still show two lines?
After a medical abortion, it is possible for the pregnancy hormone hCG (human chorionic gonadotropin) to remain in your system for some time. This hormone can take several weeks to return to baseline levels, especially if the abortion was not complete initially. The presence of two lines on a pregnancy test indicates that there is still some level of hCG in your body. It does not necessarily mean that you are still pregnant; it could simply be residual hormone from the pregnancy that has not yet cleared. If your doctor has confirmed via ultrasound that your uterus is clear, the hCG levels should eventually decrease, and subsequent tests should show negative results.

2. Is it normal to have some discharge after the abortion?
Yes, it is normal to experience some vaginal discharge after a medical abortion. This discharge can vary in color and consistency and may include remnants of tissue or blood. As long as you are not experiencing heavy bleeding, severe pain, or foul-smelling discharge, this is typically considered normal. However, if you have concerns about the nature of the discharge or if it changes significantly, it is advisable to consult your healthcare provider.

3. Is the delayed reaction normal, and should I seek further evaluation?
Delayed reactions can occur after a medical abortion, particularly if the process was not completed as expected. If you are still experiencing symptoms or have concerns about whether your uterus is completely clear, it is prudent to follow up with your healthcare provider or a gynecologist. They can perform additional tests, such as blood tests to measure hCG levels or another ultrasound, to ensure that everything is as it should be.

4. When can I expect my next period, and will this affect future pregnancies?
After a medical abortion, it can take some time for your menstrual cycle to regulate. Many individuals may experience a delay in their next period, which can range from a few weeks to a couple of months. This variability is normal, and it does not typically affect your ability to conceive in the future. Once your cycle returns to normal, you should be able to conceive again if you choose to do so.

5. Should I switch to another clinic for further evaluation?
If you feel that your current healthcare provider is not addressing your concerns adequately, it is always within your rights to seek a second opinion. A different clinic may provide you with the reassurance and thoroughness you need regarding your recovery and future reproductive health.

6. Do I need to focus on recovery, and are there dietary considerations?
Post-abortion recovery is crucial, and taking care of your body is important. Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to support your recovery. Staying hydrated is also essential. Avoiding alcohol and smoking can help your body heal more effectively. If you have specific dietary restrictions or health concerns, it may be beneficial to consult with a healthcare provider or a nutritionist.

In conclusion, it is important to communicate openly with your healthcare provider about your concerns and symptoms. They are there to support you through this process and can provide the necessary evaluations and guidance to ensure your health and well-being. If you continue to experience anxiety or distress, consider speaking with a mental health professional who can help you navigate these feelings.

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