Heavy Odor in Discharge After Medical Abortion: Is It Normal?

After a medical abortion, the discharge may have a strong odor?

I underwent a medical abortion in mid-January, and it has been about a week since then.
I had a follow-up appointment to confirm that everything was cleared out.
For the past couple of days, I have had very little bleeding, but I have been experiencing brown discharge accompanied by an unusual odor.
I would like to know if this is a sign of infection or a normal occurrence.

Ting, 10~19 year old female. Ask Date: 2023/01/21

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended that you seek a physician's diagnosis and treatment if the symptoms persist.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2023/01/21

More Info

Experiencing a heavy odor in discharge after a medical abortion can be concerning, and it’s important to understand what might be happening in your body during this time. After a medical abortion, it is common for women to experience various types of vaginal discharge as the body begins to heal and return to its pre-pregnancy state. However, the characteristics of this discharge can provide important clues about your recovery.

Firstly, it’s important to note that some degree of discharge is normal following a medical abortion. This discharge can vary in color, consistency, and odor. Typically, you may notice a mix of blood and tissue as your body expels what was in the uterus. In the first few days, the discharge may be bright red and heavy, gradually transitioning to a lighter color and less volume over time.
However, the presence of a strong, foul odor accompanying the discharge is not typical and could indicate an infection. Infections can occur after any type of abortion, and they may present with symptoms such as:
1. Foul-smelling discharge: A strong, unpleasant odor is often a sign of infection.

2. Fever or chills: If you experience a fever, it may indicate that your body is fighting an infection.

3. Severe abdominal pain: While some cramping is normal, severe pain that does not improve may be a sign of complications.

4. Prolonged bleeding: If you are bleeding heavily or for an extended period, this could also indicate an issue.

Given that you mentioned having brown discharge with a strong odor, it is advisable to consult your healthcare provider as soon as possible. They may perform a physical examination and possibly an ultrasound to ensure that there are no retained products of conception and to check for any signs of infection.
Infections following a medical abortion can lead to serious complications if not treated promptly. Common infections include endometritis (infection of the uterine lining) or pelvic inflammatory disease (PID), which can affect the reproductive organs. Treatment typically involves antibiotics, and in some cases, further medical intervention may be necessary.

In summary, while some changes in discharge are normal after a medical abortion, a strong odor is a potential red flag for infection. It is crucial to seek medical attention to ensure your health and safety. Your healthcare provider can offer the best guidance and treatment options based on your specific situation. Remember, it’s always better to err on the side of caution when it comes to your health.

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