Post-Abortion Symptoms: Unusual Discharge and Concerns

Symptoms after abortion

Hello, Doctor Shi.

I am your patient.
Last month, I went to your clinic for a medication abortion.
Afterward, I experienced some bleeding, so I returned to get another dose of medication.
The bleeding stopped, but since then, I have been experiencing some discharge that resembles menstrual blood every couple of days.
The color is very dark, almost black.
This situation has been ongoing for over half a month.
Could you please tell me what might be the cause? Should I wait until my next period to see if things return to normal? I have been quite busy lately, so I haven't been able to come back for a follow-up appointment.
I would like to ask you if this situation is serious.

Thank you.

Chen, 30~39 year old female. Ask Date: 2004/03/09

Dr. Shi Chengyang reply Obstetrics and Gynecology

Get plenty of rest and avoid staying up late.
Please return for a follow-up appointment when you have the time.

Reply Date: 2004/03/09

More Info

After undergoing a medical abortion, it is not uncommon for patients to experience a variety of symptoms, including unusual discharge. Your description of experiencing dark, blood-like discharge intermittently for over a month after the procedure raises several important considerations.

Firstly, it is essential to understand that after an abortion, the body goes through a process of healing and adjustment. The discharge you are experiencing could be a result of retained products of conception, which can occur if some tissue remains in the uterus after the abortion. This retained tissue can lead to ongoing bleeding or discharge, which may appear darker in color due to the presence of older blood. It is crucial to monitor this symptom, as retained products can sometimes lead to infection or other complications.

Another possibility is that the discharge is part of your body’s normal healing process. After an abortion, it is typical for the menstrual cycle to be disrupted, and the body may take some time to return to its regular rhythm. The dark discharge could be old blood that is being expelled as your uterus heals. However, if the discharge is accompanied by other symptoms such as fever, severe abdominal pain, or a foul odor, it could indicate an infection or other complications that would require immediate medical attention.

Regarding your concern about whether to wait for your next menstrual period to see if things normalize, it is generally advisable to consult with your healthcare provider sooner rather than later. While some changes in discharge can be normal, prolonged or unusual symptoms should be evaluated to rule out any serious issues. Your healthcare provider may recommend an ultrasound or other diagnostic tests to ensure that your uterus is clear of any retained tissue and to assess your overall reproductive health.

In terms of severity, while some post-abortion symptoms can be expected, any persistent or concerning symptoms should not be ignored. It is always better to err on the side of caution when it comes to your health. If you are unable to return to your provider due to a busy schedule, consider reaching out for a telehealth consultation or seeking care at a local clinic to discuss your symptoms.

In summary, while some degree of discharge can be normal after an abortion, the persistence and characteristics of your symptoms warrant further evaluation. It is essential to prioritize your health and seek medical advice to ensure that you are healing properly and to address any potential complications.

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