Medication Abortion: Signs of Pregnancy or Retained Tissue?

Medication abortion issues

After taking the medication, I started experiencing heavy bleeding from April 17, which stopped on April 24.
I had intercourse in early May, and my period still hasn't arrived.
On June 10, I took a pregnancy test, and it showed two very dark lines...
Does this mean I am pregnant, or is it residual?

Jenny, 30~39 year old female. Ask Date: 2023/06/11

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, both possibilities could be valid.
It is recommended that you consult a physician for evaluation.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2023/06/11

More Info

When it comes to understanding medication abortion and the signs of pregnancy or retained tissue, it is essential to consider several factors, including the timeline of events, symptoms experienced, and the results of pregnancy tests. Based on your description, it appears that you underwent a medication abortion, which typically involves taking two different medications: mifepristone and misoprostol. This process is designed to terminate an early pregnancy, and it can lead to heavy bleeding and cramping as the body expels the pregnancy tissue.

In your case, you mentioned experiencing heavy bleeding starting on April 17 and stopping on April 24. This timeframe aligns with the expected bleeding pattern following a medication abortion, as many individuals experience significant bleeding for several days. However, the fact that you have not had a menstrual period since then and received a positive pregnancy test on June 10 raises some important questions.

A positive pregnancy test after a medication abortion can indicate one of two possibilities: either you are experiencing retained tissue from the abortion, or you may have become pregnant again. Retained tissue can occur if the abortion was not complete, leading to ongoing hormonal activity and a positive pregnancy test. Symptoms of retained tissue may include prolonged bleeding, severe cramping, or other signs of complications, such as fever or foul-smelling discharge.

To clarify your situation, it is crucial to consult with a healthcare provider. They may recommend an ultrasound to check for any retained tissue in the uterus. An ultrasound can provide valuable information about the status of your uterus and whether any pregnancy tissue remains. If retained tissue is confirmed, your healthcare provider will discuss the appropriate next steps, which may include medication or a surgical procedure to ensure complete evacuation.

If the ultrasound shows no retained tissue, the positive pregnancy test could indicate a new pregnancy. In this case, your healthcare provider will guide you on the next steps for prenatal care or discuss any concerns you may have regarding the timing of your pregnancies.

In summary, the positive pregnancy test after a medication abortion warrants further evaluation to determine whether it is due to retained tissue or a new pregnancy. It is essential to seek medical advice promptly to ensure your health and well-being. Your healthcare provider will be able to provide the necessary tests and support to help you understand your situation better.

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