Incomplete Abortion After Taking RU-486: Symptoms and Concerns - Obstetrics and Gynecology

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After taking RU-486, also known as mifepristone, it is crucial to monitor your body for any signs of incomplete abortion. Incomplete abortion occurs when the pregnancy tissue is not fully expelled from the uterus, which can lead to complications if not addressed.
Based on your timeline, you took RU-486 on July 17, and after three days, you returned for a follow-up where it was confirmed that the embryo had been expelled. However, you mentioned that a week later, the bleeding was not ideal, leading to the prescription of a uterine contraction medication. After taking this medication for three days, you still did not experience any bleeding.

In terms of symptoms of incomplete abortion, they can vary but may include:
1. Persistent Abdominal Pain: If you experience ongoing or severe abdominal pain, it could indicate that not all tissue has been expelled.

2. Heavy Bleeding: While some bleeding is expected after taking RU-486, heavy bleeding or passing large clots can be a sign of complications.

3. Foul-Smelling Discharge: Any unusual or foul-smelling vaginal discharge may suggest an infection or retained tissue.

4. Fever: A fever may indicate an infection, which can occur if there is retained tissue in the uterus.

5. Emotional Distress: Psychological symptoms such as anxiety or depression can also arise during this time, especially if the physical symptoms are concerning.

Given that you have not experienced any bleeding after taking the uterine contraction medication, it is essential to consult your healthcare provider. They may recommend an ultrasound to check for any retained products of conception. An ultrasound can provide clarity on whether the abortion was complete and if any further medical intervention is necessary.

In terms of timing, it is generally advised to follow up with your healthcare provider if you have concerns about incomplete abortion, especially if you experience any of the symptoms mentioned above. It is better to err on the side of caution, as untreated incomplete abortion can lead to complications such as infection or heavy bleeding.

Regarding your concern about whether this situation constitutes an incomplete abortion, it is difficult to determine without further medical evaluation. The absence of bleeding after taking the contraction medication could suggest that the uterus is not contracting effectively, which may require additional treatment.

In conclusion, it is vital to maintain open communication with your healthcare provider and follow their recommendations. If you have any symptoms that concern you or if you are unsure about your recovery, do not hesitate to seek medical advice. Your health and well-being are paramount, and timely intervention can prevent potential complications.