Post-RU486 Bleeding Concerns: Seeking Answers and New Care Options - Obstetrics and Gynecology

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Post-RU486 bleeding concerns can be quite distressing, especially when accompanied by unusual symptoms such as changes in blood color and consistency, as well as discomfort or itching. It’s important to understand that RU486 (mifepristone) is a medication used for medical abortion, and it can lead to a variety of bleeding patterns as the body expels the pregnancy tissue.
In your case, it has been twenty days since taking RU486, and you are experiencing ongoing bleeding that fluctuates in color and consistency, along with some discomfort. This can be concerning, especially if you are also noticing unusual discharge and itching. It’s essential to recognize that while some bleeding is expected after taking RU486, prolonged or heavy bleeding, especially if it is accompanied by other symptoms, should be evaluated by a healthcare professional.

The bleeding you are experiencing could be a combination of the body’s response to the medication and the natural process of expelling the pregnancy tissue. Typically, after a medical abortion, bleeding can last anywhere from a few days to several weeks. However, if you are still experiencing significant bleeding after twenty days, it is advisable to seek further medical evaluation.
You mentioned that you have already had three follow-up appointments, and while your doctor has indicated that everything appears normal via ultrasound, your ongoing symptoms warrant a second opinion. It is entirely reasonable to seek care from another healthcare provider if you feel your concerns are not being adequately addressed. A different doctor may provide a fresh perspective and potentially different treatment options.
Regarding your question about exercise, moderate physical activity can sometimes help with overall circulation and may assist in the body’s natural processes. However, it is crucial to listen to your body. If you are experiencing significant discomfort or if exercise exacerbates your symptoms, it may be best to avoid strenuous activity until you have consulted with a healthcare provider.

In addition to seeking a second opinion, consider the following steps:
1. Document Symptoms: Keep a detailed record of your symptoms, including the amount and color of bleeding, any clots, and any other symptoms such as pain or itching. This information can be helpful for any healthcare provider you consult.

2. Seek Immediate Care for Severe Symptoms: If you experience heavy bleeding (soaking through a pad in an hour), severe pain, fever, or any signs of infection (such as foul-smelling discharge), seek immediate medical attention.

3. Consider Counseling: Given the emotional toll of your experience, it might be beneficial to speak with a counselor or therapist who specializes in reproductive health. They can provide support as you navigate your feelings about the abortion and any subsequent health concerns.

4. Follow-Up Testing: If you switch doctors, inquire about the possibility of further testing, such as blood tests to check for anemia or additional imaging to ensure that there are no retained products of conception.

In summary, while some bleeding is expected after taking RU486, prolonged bleeding and accompanying symptoms should be evaluated by a healthcare professional. Seeking a second opinion is a valid choice if you feel your concerns are not being addressed. Remember to prioritize your health and well-being, both physically and emotionally, during this time.