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

Delayed reaction to medical abortion: Cleaned out 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 under the doctor's instructions, followed by the second dose two days later.
After a week, during my follow-up appointment, I found out that the abortion had not occurred.
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 this until my follow-up on April 26, when the doctor performed an ultrasound and said everything was cleared, 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, why does the pregnancy test show two lines? Does this mean it is not completely cleared? Will it expel on its own?
2.
Currently, I am not experiencing any bleeding, discomfort, or unusual odor, but I have some discharge.
Is this normal?
3.
Is the delayed reaction of the medication during this period abnormal? Should I go to a gynecological clinic for an examination?
4.
When can I expect my next menstrual period? Will this affect my ability to conceive in the future?
5.
Should I consider switching 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 or foods I should avoid?
Thank you, Dr.
Huang, for your response.
This has been troubling me for a long time, and I sincerely request 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.
It is important to note that using medication for abortion can sometimes result in a positive test even 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 have lingering questions and concerns about their health, especially regarding pregnancy tests and menstrual cycles. Let's address your questions one by one.

1. Why does the pregnancy test show two lines even after the abortion?
After a medical abortion, it can take some time for the hormone hCG (human chorionic gonadotropin) to decrease to undetectable levels. If you had a positive pregnancy test after the abortion, it could be due to residual hCG in your system. This hormone can remain in your body for several weeks following a miscarriage or abortion, especially if the abortion was not complete. If your doctor has confirmed via ultrasound that your uterus is clear, the positive test could be a result of the lingering hormone rather than an indication of an ongoing pregnancy.

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 foul odors, severe pain, or heavy bleeding, this is typically considered normal. However, if you have any concerns, it is always best to consult your healthcare provider.

3. Is the delayed reaction to medication normal? Should I see a gynecologist?
Delayed reactions can occur after a medical abortion, particularly if the process was not fully completed initially. If your doctor has confirmed that your uterus is clear and you are still experiencing symptoms or have concerns about your recovery, it is advisable to follow up with a gynecologist. They can provide further evaluation and reassurance.

4. When can I expect my next period? Will this affect future pregnancies?
After a medical abortion, it can take several weeks for your menstrual cycle to return to normal. Typically, your first period may come within 4 to 6 weeks after the abortion, but this can vary. As for future pregnancies, having a medical abortion does not inherently affect your ability to conceive in the future. Most women can conceive again after their menstrual cycle returns to normal.

5. Should I switch to another gynecological clinic for further checks?
If you feel uncertain about the care you are receiving or if your concerns are not being adequately addressed, it is perfectly reasonable to seek a second opinion or switch to another clinic. Your health and peace of mind are paramount.

6. Do I need to focus on nutrition or supplements post-abortion?
After an abortion, it is important to take care of your body. Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Staying hydrated is also crucial. If you have specific dietary restrictions or health concerns, consider consulting a healthcare provider or a nutritionist. Additionally, some women may benefit from iron supplements if they experienced significant blood loss, but this should be discussed with your doctor.

In summary, it is essential to listen to your body and seek medical advice whenever you have concerns. Your health and emotional well-being are important, and there are professionals available to help guide you through this process. If you continue to have questions or experience unusual symptoms, do not hesitate to reach out to your healthcare provider for support and reassurance.

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