Prolonged Bleeding After Abortion: When to Seek Further Medical Help - Obstetrics and Gynecology

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Prolonged bleeding after an abortion can be a concerning issue, and it is essential to understand when to seek further medical help. In your case, experiencing continuous bleeding for over a month after a surgical abortion is not typical and warrants further evaluation.

Firstly, it is important to recognize that after an abortion, some bleeding is expected as the body expels the remaining tissue and the uterus contracts back to its normal size. However, if the bleeding persists beyond a few weeks, especially if it is heavy or accompanied by other symptoms such as severe pain, fever, or foul-smelling discharge, it could indicate complications such as retained products of conception, infection, or issues with uterine contractions.

Your mention of experiencing yellowish discharge prior to the abortion could suggest an underlying infection, which may have contributed to your current symptoms. Infections can lead to complications post-abortion, including prolonged bleeding. It is crucial to communicate any previous symptoms to your healthcare provider, as this information can help guide their evaluation and treatment plan.

Given that you have already consulted with your doctor multiple times and have been prescribed medication that only temporarily alleviates the bleeding, it may be time to seek a second opinion or request a more thorough examination at a larger medical facility. This could include additional imaging studies, such as a transvaginal ultrasound, to check for any retained tissue or abnormalities in the uterus that may not have been detected previously.

In terms of treatment, if retained products of conception are confirmed, a follow-up procedure may be necessary to remove them. If an infection is suspected, appropriate antibiotics will be required. Additionally, if uterine contractions are inadequate, your doctor may consider medications to help stimulate uterine contractions and promote the expulsion of any remaining tissue.

It is also essential to monitor your symptoms closely. If you experience any of the following, you should seek immediate medical attention:
1. Heavy Bleeding: Soaking through one or more pads in an hour for several consecutive hours.

2. Severe Abdominal Pain: Pain that is not relieved by over-the-counter medications or is worsening.

3. Fever: A temperature above 100.4°F (38°C) could indicate an infection.

4. Foul-Smelling Discharge: This could be a sign of an infection.

In conclusion, while some bleeding is normal after an abortion, prolonged bleeding that does not resolve with medication and is accompanied by other concerning symptoms should be evaluated further. It is advisable to consult with a healthcare provider who specializes in obstetrics and gynecology, particularly at a facility equipped to handle potential complications. Your health and well-being are paramount, and seeking timely medical intervention can help prevent further complications and ensure a safe recovery.