Breast and Abdominal Symptoms After Medication Abortion

Q: Breast and Abdominal Symptoms After Medication Abortion

Hello, inquirer： The contraceptive effectiveness of condoms and emergency contraceptive pills is not 100%, with failure rates of about 5% and 3%, respectively. <br>Additionally, early pregnancy may not present specific symptoms, and subjective symptoms cannot be used to make a ju

Breast issues

Hello doctor, I previously had a medical abortion on March 2nd.
After a follow-up appointment on March 16th, it was confirmed that everything was cleared.
I engaged in sexual intercourse with my partner afterward, using contraception.
My first menstrual period started on April 2nd and ended around April 5th.
On April 7th, I noticed a small amount of blood and brown discharge, and I had sexual intercourse that day, during which I briefly had unprotected intercourse for less than five seconds while in hot water, but I used a condom for the rest of the time.
On April 8th, feeling uneasy, I purchased emergency contraception.
We had sexual intercourse again on April 13th and 14th, using condoms throughout, but afterward, I noticed some bleeding.
From April 15th to 16th, I observed light red spotting.
On April 16th, I woke up with lower back pain, which I am unsure if it is related to physical education class.
From April 17th, the bleeding gradually decreased and turned brown.
According to my app, my ovulation period was from April 12th to 18th.
On April 17th, I woke up with breast tenderness, and I still have lower back pain.
From April 15th to 17th, I experienced occasional mild stabbing pain in my lower right and left abdomen, and sometimes a dull ache in my lower abdomen.
I usually do not have any symptoms during my ovulation period.
My next expected menstrual period is around May 1st.
Is there a possibility of pregnancy, or could these symptoms be related to ovulation? Could the medical abortion have altered my hormone levels?

lu, 10~19 year old female. Ask Date: 2024/04/17

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, inquirer: The contraceptive effectiveness of condoms and emergency contraceptive pills is not 100%, with failure rates of about 5% and 3%, respectively.
Additionally, early pregnancy may not present specific symptoms, and subjective symptoms cannot be used to make a judgment.
There are also many reasons for bleeding outside of the menstrual period.
It is recommended to check for pregnancy if your period is more than a week late.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2024/04/17

More Info

After undergoing a medical abortion, it's common to experience various symptoms, including breast tenderness, abdominal pain, and changes in menstrual bleeding patterns. Your situation involves a series of events following the abortion, including sexual activity, the use of emergency contraception, and subsequent symptoms that may be concerning.
Firstly, it's important to understand that after a medical abortion, the body undergoes hormonal changes as it returns to its pre-pregnancy state. This can lead to symptoms such as breast tenderness, abdominal discomfort, and irregular bleeding. The breast pain you are experiencing could be attributed to hormonal fluctuations, particularly if you are nearing ovulation, which typically occurs about two weeks after the first day of your last menstrual period. The timing of your symptoms suggests that you may be experiencing ovulation-related discomfort, which is not uncommon.

Regarding the bleeding you mentioned after sexual activity, light spotting can occur after an abortion, especially if you have recently resumed sexual intercourse. The presence of brownish discharge is often old blood, which can be a normal part of the healing process. However, if the bleeding becomes heavy or is accompanied by severe pain, it would be advisable to consult a healthcare provider.

The abdominal pain you described, particularly the mild stabbing sensations and the feeling of heaviness, could also be linked to ovulation or even to physical activity, such as sports, which can sometimes cause muscle strain or discomfort in the lower abdomen. It's essential to differentiate between normal post-abortion symptoms and those that may indicate a complication, such as an infection or retained tissue.

As for the possibility of pregnancy, if you have been using condoms consistently and correctly, the risk of pregnancy is significantly reduced. However, no contraceptive method is 100% effective, and the use of emergency contraception can also cause temporary side effects, including changes in bleeding patterns and abdominal discomfort. If you are concerned about the possibility of pregnancy, a home pregnancy test can provide clarity, especially if your next expected period does not arrive.

In summary, the symptoms you are experiencing could be attributed to hormonal changes following your medical abortion, ovulation, or even physical activity. It is essential to monitor your symptoms and seek medical advice if you experience heavy bleeding, severe pain, or any other concerning symptoms. Regular follow-up with your healthcare provider is crucial to ensure that your recovery is progressing well and to address any lingering concerns you may have.

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