Abortion Complications: What to Do If You Suspect Pregnancy Again

Abortion Issues

Hello, I previously left a message stating that I was 2 weeks pregnant.
I took abortion pills on August 31, and experienced a significant amount of blood clots.
By September 17, I had only a little bit of bleeding for about 3 to 4 days, and on September 17, there was no bleeding at all.
However, on September 18, I started bleeding a little again, and the amount has been slightly more than in the previous days.
During my follow-up appointment on September 17, the doctor mentioned that the abortion was not complete, and an ultrasound showed no embryo, but I still had a faint positive result on a pregnancy test.
I had unprotected intercourse during the abortion period, and now, as of October 3, I have stopped bleeding.
However, today I used a pregnancy test, and the result showed two lines, albeit faint.
Am I possibly pregnant again, or could there be another explanation?

Xiao Qian, 10~19 year old female. Ask Date: 2015/10/03

Dr. Lü Lizheng reply Obstetrics and Gynecology

Typically, ovulation will not resume until after a miscarriage is completely resolved, which is necessary for conception to occur again.
Since bleeding stopped from late September to early October, it is unlikely that ovulation and subsequent conception would happen so soon.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/10/03

More Info

It sounds like you are going through a very challenging and confusing time regarding your reproductive health. Based on your description, it seems that you may be experiencing complications following a medical abortion, and there is a possibility that you could be pregnant again. Here’s a breakdown of what you might be experiencing and what steps you should consider taking.

Understanding Your Situation
1. Post-Abortion Complications: After taking abortion medication, it is common to experience bleeding and passing blood clots. However, if you are still experiencing bleeding weeks after the procedure, it could indicate that the abortion was not complete. This can lead to retained products of conception, which may require further medical intervention.

2. Pregnancy Test Results: The presence of a faint line on a pregnancy test could indicate that you are still experiencing residual pregnancy hormones (hCG) from your previous pregnancy, or it could suggest a new pregnancy. Since you mentioned having unprotected intercourse during this time, it is possible that you could be pregnant again.

3. Symptoms to Monitor: Keep an eye on any additional symptoms such as severe abdominal pain, heavy bleeding, fever, or any unusual discharge. These could be signs of complications that require immediate medical attention.

Recommended Actions
1. Consult Your Healthcare Provider: It is crucial that you reach out to your healthcare provider as soon as possible. They can perform a thorough evaluation, which may include a physical examination, blood tests to check hCG levels, and possibly an ultrasound to determine if there is any retained tissue or if you are indeed pregnant again.

2. Follow-Up Ultrasound: An ultrasound can provide clarity on whether there are any remnants of the previous pregnancy or if a new pregnancy has occurred. This is an important step to ensure your health and safety.

3. Discuss Future Contraception: If you are not planning to become pregnant again soon, it might be a good time to discuss contraceptive options with your healthcare provider. This can help prevent unintended pregnancies in the future.

4. Emotional Support: Going through an abortion and the uncertainty of a new pregnancy can be emotionally taxing. Consider seeking support from a counselor or a support group where you can share your feelings and experiences.

Conclusion
In summary, it is essential to seek medical advice promptly to understand your current situation better. The faint line on the pregnancy test, combined with your recent history of abortion and ongoing bleeding, warrants a thorough evaluation by a healthcare professional. They will be able to provide you with the necessary tests and guidance to ensure your health and well-being. Remember, you are not alone in this, and there are resources available to support you through this difficult time.

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