Post-Abortion Bleeding and Birth Control Patch Use

Menstrual issues?

Hello, doctor! I had a miscarriage procedure on February 21.
Initially, I didn't have any issues, but on March 1, I experienced some bleeding, which I thought was my period, so I applied a contraceptive patch that day.
Until today, March 9, I experienced bleeding again in the afternoon, and this time it seemed to have some small blood clots.
Could you please tell me if these two instances are not my period? The contraceptive patch is changed every 7 days, and I applied the second patch yesterday, March 8.
Is this effective for the patch? I'm concerned that these two instances may not be my period, or that the bleeding on March 9 could be.
If it is not my period, should I stop using the patch and only start counting next month for it to be effective? Or should I continue using it and follow the current patch cycle?

Qian, 20~29 year old female. Ask Date: 2005/03/10

Dr. Lü Lizheng reply Obstetrics and Gynecology

These two instances of bleeding are not menstruation.
It is best to return to the outpatient clinic for an examination to determine the cause.
The patch is effective and can be used continuously.
Please follow the current cycle of the patch for proper usage.

Reply Date: 2005/03/10

More Info

Understanding post-abortion bleeding and the use of a birth control patch can be quite complex, especially after a recent abortion. It’s important to clarify what you are experiencing and how to manage your birth control effectively.

Firstly, post-abortion bleeding is a common occurrence. After a surgical abortion, it is normal to experience some bleeding or spotting for a few days to weeks. This bleeding can vary in intensity and may include small blood clots. The bleeding you experienced on March 1st could be part of the normal post-abortion recovery process, rather than a menstrual period. The presence of small blood clots on March 9th might also indicate that your body is still adjusting after the procedure. It’s essential to monitor the amount and duration of bleeding; if it becomes excessively heavy or is accompanied by severe pain, you should seek medical attention.

Regarding the birth control patch, it is designed to release hormones that prevent ovulation and regulate your menstrual cycle. When you applied the patch on March 1st, it was likely effective in preventing pregnancy, assuming you were not already pregnant at that time. The patch is typically changed weekly, and you mentioned that you changed it on March 8th. As long as you are following the instructions for the patch correctly—changing it every seven days—you should maintain its effectiveness.

However, since you are experiencing bleeding that may not be your menstrual period, it’s crucial to consider a few factors. If the bleeding continues or if you have concerns that it might be related to the patch or your recent abortion, it would be wise to consult with your healthcare provider. They can provide personalized advice based on your medical history and current situation.

If you suspect that the bleeding is not a menstrual period, you do not necessarily need to stop using the patch. You can continue using it as directed. The patch works by maintaining hormone levels in your body, which can help regulate your cycle over time. If you stop using it prematurely, you may not achieve the desired contraceptive effect.

In summary, the bleeding you are experiencing could be a continuation of post-abortion recovery rather than a menstrual period. Continue using the birth control patch as directed unless advised otherwise by your healthcare provider. If you have any concerns about the bleeding or the effectiveness of the patch, do not hesitate to reach out to your doctor for further evaluation and guidance. It’s always better to err on the side of caution when it comes to your reproductive health.

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