Post-Abortion Bleeding: When to Seek Medical Help

Q: Post-Abortion Bleeding: When to Seek Medical Help

Hello： Based on your description, the physician has carefully arranged your treatment and follow-up care, so it's understandable that you might be concerned about the possibility of bleeding. <br>Generally, after a complete miscarriage, the menstrual period typically returns in a

Inquiry about miscarriage status after taking Apano tablets?

Dear Dr.
Dong,
I am currently over seven weeks pregnant.
On March 18, 2010, I took Apano (three tablets) to induce a miscarriage.
On March 20, I returned for a follow-up, and the doctor inserted three tablets of prostaglandin vaginally.
About three hours later, the embryo was successfully expelled.
The doctor advised me to rest, and my company granted me fourteen days of maternity leave.
During this period, I returned for weekly check-ups and took the iron supplements and uterine contraction medications prescribed by the doctor.
The doctor indicated that the bleeding would gradually decrease.
On April 17, 2010, during my follow-up, the doctor confirmed that everything was fine, the bleeding had stopped, and advised that my first menstrual period after the miscarriage would likely occur between May 1 and May 7, 2010.
However, on the morning of April 21, 2010, I began to experience vaginal bleeding, which increased in volume and contained many blood clots and what appeared to be tissue.
That evening, I returned for another check-up, where I underwent a urine pregnancy test and a transvaginal ultrasound, confirming that there was no longer a pregnancy.
The doctor informed me that it was currently impossible to determine whether the bleeding was the first menstrual period following the miscarriage or if it indicated an incomplete miscarriage.
The doctor suggested that if the bleeding continued and increased, I might need to undergo a surgical procedure (anesthesia and suction curettage).
The doctor prescribed medication to help with uterine contractions (four times a day for three days).
I have the following questions:
1.
Is this bleeding normal?
2.
Do I really need to undergo another surgical abortion?
3.
How long does it typically take for menstruation to return after a medical abortion?
4.
Is this situation what the doctor referred to as irregular menstruation?
I am very worried and would greatly appreciate your response.
Thank you.

Xiao Pingguo, 20~29 year old female. Ask Date: 2010/04/22

Dr. Dong Yuhong reply Obstetrics and Gynecology

Hello: Based on your description, the physician has carefully arranged your treatment and follow-up care, so it's understandable that you might be concerned about the possibility of bleeding.
Generally, after a complete miscarriage, the menstrual period typically returns in about one to one and a half months.
In cases where medical intervention is necessary, surgery is also a method of diagnosis and treatment.
Your communication with the physician seems to be good; did your questions help your physician understand your concerns? Perhaps by voicing your questions, they can better address your confusion and provide explanations that are clearer for you.
Thank you.

Reply Date: 2010/04/22

More Info

Post-abortion bleeding can be a concerning issue for many women, and understanding when to seek medical help is crucial for ensuring health and safety. Based on your situation, it appears you have undergone a medical abortion at approximately seven weeks of pregnancy, followed by a series of follow-up appointments and treatments. Here’s a detailed response to your questions, along with some additional insights into post-abortion care.

1. Is this bleeding normal?
After a medical abortion, it is common to experience bleeding that can last for several days to a few weeks. Initially, the bleeding may be heavy, especially as the body expels the pregnancy tissue. However, the presence of large blood clots and tissue-like material can indicate that the uterus may not have completely emptied. While some bleeding is expected, if you notice an increase in bleeding, especially if it becomes heavy or is accompanied by severe pain, it is essential to seek medical attention.
2. Do I really need to undergo another surgical abortion?
Your doctor has indicated that if the bleeding continues to increase, a surgical procedure may be necessary to ensure that the uterus is clear of any remaining tissue. This procedure, often referred to as a dilation and curettage (D&C), can help prevent complications such as infection or excessive bleeding. If you are experiencing heavy bleeding, it is advisable to follow your doctor's recommendation and discuss any concerns you have about the procedure.
3. How long after a medical abortion should I expect my first menstrual period?
Generally, after a medical abortion, most women can expect their first menstrual period to return within four to six weeks. However, this can vary based on individual factors such as hormonal balance and overall health. It is not uncommon for the first period to be irregular or different in flow compared to your usual cycle.
4. Is this situation what the doctor referred to as irregular menstruation?
Yes, the bleeding you are experiencing could be classified as irregular menstruation, especially if it is not consistent with your typical menstrual cycle. After a medical abortion, it is common for the body to take some time to readjust, which can lead to irregular bleeding patterns. However, if the bleeding is excessive or accompanied by other concerning symptoms, it is important to consult your healthcare provider.

Additional Considerations:
- Monitoring Symptoms: Keep track of your bleeding patterns, including the amount and any accompanying symptoms such as pain, fever, or foul-smelling discharge. This information can be helpful for your healthcare provider in assessing your condition.

- Hydration and Rest: Ensure you are well-hydrated and get plenty of rest during your recovery. This can help your body heal and manage any discomfort.

- Follow-Up Appointments: Continue to attend your follow-up appointments as scheduled. These visits are crucial for monitoring your recovery and addressing any complications that may arise.

- Emotional Support: Experiencing a medical abortion can be emotionally taxing. Consider seeking support from friends, family, or professional counselors to help process your feelings during this time.

In conclusion, while some bleeding is normal after a medical abortion, it is essential to remain vigilant about any changes in your symptoms. If you have concerns about the amount of bleeding or the need for further medical intervention, do not hesitate to reach out to your healthcare provider for guidance. Your health and well-being are paramount, and timely medical advice can help prevent complications.

Similar Q&A

Managing Post-Abortion Bleeding: When to Seek Medical Attention

At over 6 weeks of pregnancy, during a check-up, the baby still had a heartbeat, but there was brown spotting. The doctor informed that this was normal and recommended taking some progesterone, allowing me to continue working. However, during the check-up on October 2, at over 8 ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the inquirer: Based on your condition, it is recommended that you return for a follow-up appointment with your surgeon to evaluate whether your symptoms are due to normal lochia or another issue. Thank you! Wishing you safety and health. Dr. Chang

Prolonged Bleeding After Abortion: When to Seek Further Medical Help

Dear Doctor, I underwent an abortion procedure a little over a month ago, but my menstruation has not stopped since then. I have returned to the outpatient clinic multiple times for medication; while taking the medication, the bleeding decreases slightly, but it resumes once I s...

Dr. Chen Changfu reply Obstetrics and Gynecology
Dear online friend, Hello! It has been over a month since your abortion procedure, and you are still experiencing abnormal uterine bleeding. This is something to be concerned about! A thorough examination is necessary to determine the cause and provide appropriate treatment. You...

Post-Abortion Bleeding: Understanding Causes and When to Seek Help

On January 1st, I had an abortion, and since then, I have been experiencing bleeding, varying in amount. On February 5th, I went to a large hospital for an examination and blood tests. The doctor said there were no significant issues and prescribed medication to stop the bleeding...

Dr. Lin Zhaopei reply Obstetrics and Gynecology
Under normal circumstances, after a 1/1 abortion, the next menstruation is expected around 2/5. However, if there is intermittent bleeding in between, the menstruation may be delayed, but it is possible that menstruation could start on 2/13.

Post-Abortion Concerns: When to Seek Medical Attention After Sex

If you had sexual intercourse two weeks after an abortion and experienced bleeding and abdominal pain the next day, how long these symptoms will last can vary. It's important to monitor your symptoms closely. If the bleeding is heavy, or if the pain is severe or persistent, ...

Dr. Lin Manying reply Obstetrics and Gynecology
Hello Miss Xiaoning: If you experience bleeding and abdominal pain after sexual intercourse following an abortion, it is important to return to the original clinic for an examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.