Post-Abortion Bleeding and Menstrual Cycle Changes

Q: Post-Abortion Bleeding and Menstrual Cycle Changes

Hello, the questioner： It is recommended to first have a doctor confirm that the miscarriage has been complete. <br>If you plan to start taking contraceptive pills, it is better to wait until your next normal menstrual period to begin, as taking them immediately after a miscarria

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Inquirer: Xiaoqing / Female / 23, 2015/08/31.
"Hello, Doctor.
I would like to ask you a question.
After taking RU486 on August 7, I bled for about two weeks and then it stopped.
On August 29, I accidentally ate sesame oil chicken, which caused me to bleed the next day at noon.
During my previous follow-up appointment, the doctor prescribed me hemostatic medication and said to let my period come naturally after finishing it.
Does this count as my period?" Respondent: Zhang Kunmin, Obstetrics and Gynecology, Fengyuan Hospital, 2015/08/31.
"Hello, based on your description, the bleeding a few days later should not be considered a formal period (as ovulation has not yet occurred).
If the bleeding continues, you should consult a physician.
Thank you! Wishing you peace and health, Dr.
Zhang." Inquirer: "Thank you, Dr.
Zhang, for your response.
May I ask, if I start taking long-term contraceptive pills in the next few days, what effects might that have?"

Xiao Qing, 20~29 year old female. Ask Date: 2015/09/02

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the questioner: It is recommended to first have a doctor confirm that the miscarriage has been complete.
If you plan to start taking contraceptive pills, it is better to wait until your next normal menstrual period to begin, as taking them immediately after a miscarriage may increase the risk of thrombosis and reduce their effectiveness.
Until your next period, you should use alternative contraceptive methods, such as condoms.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2015/09/02

More Info

Post-abortion bleeding and menstrual cycle changes can be complex and concerning for many women. After an abortion, whether it is a medical abortion using medications like RU486 or a surgical procedure, it is common to experience some degree of bleeding. This bleeding, often referred to as "lochia," can last for several weeks as the body expels the remaining tissue and the uterus heals.
In your case, you mentioned experiencing bleeding for about two weeks after taking RU486, which is typical. The bleeding can vary in color and consistency, ranging from bright red to dark brown, and may include blood clots. It is important to note that this bleeding is not considered a menstrual period, as ovulation has not yet occurred. The menstrual cycle typically resumes after the body has fully healed and the hormonal balance is restored.

Regarding your question about the bleeding you experienced after consuming a specific meal, it is unlikely that the food itself caused the bleeding. However, if you were already in a sensitive state post-abortion, any physical activity or dietary changes could potentially trigger some bleeding. It is essential to monitor the amount and duration of the bleeding. If it is heavy or accompanied by severe pain, it is advisable to consult your healthcare provider.

As for the question about taking long-term contraceptive pills after an abortion, it is generally safe to start hormonal contraception after your healthcare provider gives you the green light. However, it is crucial to discuss this with your doctor, as they can provide personalized advice based on your medical history and current health status. Starting hormonal contraception can help regulate your menstrual cycle and may reduce the risk of unintended pregnancy.

In summary, post-abortion bleeding can last for several weeks, and it is essential to differentiate between this bleeding and a menstrual period. If you experience prolonged or heavy bleeding, or if you have any concerns about your recovery, it is crucial to seek medical advice. Your healthcare provider can perform necessary examinations, such as ultrasounds, to ensure that your uterus is healing properly and that there are no retained products of conception. Additionally, they can guide you on when it is appropriate to start hormonal contraception and how it may affect your menstrual cycle moving forward. Always prioritize open communication with your healthcare provider to address any concerns and ensure a healthy recovery.

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