Menstrual Changes After Medication Abortion: What to Expect

Menstruation after abortion?

Hello, I would like to ask a question! I underwent a medical abortion on March 11, and I experienced bleeding for about 11.2 days.
Approximately 4.5 days ago, I started experiencing breast tenderness, acne, and a feeling of heaviness in my abdomen with some mild pain.
However, since it is already past April 11 and I haven't gotten my period, I took a pregnancy test yesterday, which showed one line.
I understand that the symptoms before menstruation can be similar to early pregnancy symptoms, but does this mean that my symptoms are not indicative of pregnancy? Should I take medication to induce my period?

Ting Ting, 20~29 year old female. Ask Date: 2008/04/15

Dr. Dai Qihan reply Obstetrics and Gynecology

It is recommended to return to the original prescribing clinic for examination and treatment.

Reply Date: 2008/04/15

More Info

After a medication abortion, it is common for individuals to experience various menstrual changes and symptoms as their body adjusts to the hormonal shifts. In your case, having undergone a medication abortion on March 11 and experiencing bleeding for approximately 11.2 days is within the expected range. It is also not unusual to have symptoms such as breast tenderness, acne, and abdominal discomfort following the procedure, as these can be attributed to hormonal fluctuations.

The symptoms you are experiencing—breast swelling, acne, and abdominal discomfort—can indeed mimic early pregnancy signs. However, since you have taken a pregnancy test and received a negative result (one line), it is likely that you are not pregnant. The hormonal changes following an abortion can lead to similar symptoms, and it is essential to differentiate between these and actual pregnancy symptoms.

Regarding your question about taking medication to induce menstruation, it is generally advisable to consult with your healthcare provider before starting any new medication. They can assess your individual situation and determine whether it is appropriate for you to take menstrual induction medication. It is important to consider that your body may still be adjusting after the abortion, and it might take some time for your menstrual cycle to normalize.

If you do not get your period within a few weeks or if you continue to experience significant discomfort, it would be prudent to follow up with your healthcare provider. They can perform an examination and possibly conduct further tests to ensure that everything is progressing normally and to rule out any complications, such as retained products of conception or hormonal imbalances.

In summary, while your symptoms can be concerning, they are not uncommon following a medication abortion. It is crucial to monitor your symptoms and maintain open communication with your healthcare provider to ensure that you receive the appropriate care and guidance during this time. If you have any doubts or if your symptoms worsen, do not hesitate to seek medical advice. Your health and well-being are paramount, and your provider is there to support you through this process.

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