Why Is My Bleeding Still Ongoing Three Weeks After Abortion? - Obstetrics and Gynecology

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After an abortion, it is not uncommon for women to experience ongoing bleeding, which can last for several weeks. The duration and nature of this bleeding can vary significantly from person to person, and there are several factors that can contribute to prolonged bleeding after an abortion.

First and foremost, it is essential to understand that after an abortion, the body goes through a process of healing and recovery. The uterus needs time to return to its pre-pregnancy state, and during this time, it may continue to expel residual tissue or blood. This is often referred to as "lochia," which is the vaginal discharge that occurs after childbirth or abortion. Lochia can be bright red initially and may gradually change to a pink or brown color as healing progresses.
In your case, since you mentioned that you had an abortion on October 15 and are still experiencing bleeding, it is crucial to consider a few possibilities:
1. Incomplete Abortion: If there are remnants of placental tissue or other materials left in the uterus, this can lead to ongoing bleeding. An ultrasound can help determine if any tissue remains.

2. Hormonal Changes: After an abortion, hormonal levels fluctuate as the body adjusts. These hormonal changes can affect the menstrual cycle and lead to irregular bleeding patterns.

3. Infection: Although less common, an infection in the uterus can cause prolonged bleeding. Symptoms of infection may include fever, foul-smelling discharge, or severe abdominal pain. If you experience any of these symptoms, it is essential to seek medical attention promptly.

4. Uterine Contractions: The uterus may continue to contract after an abortion, which can cause intermittent bleeding. This is a normal part of the healing process, but if the bleeding is heavy or prolonged, it should be evaluated.

5. Other Medical Conditions: Conditions such as fibroids, polyps, or hormonal imbalances can also contribute to abnormal bleeding patterns. If you have a history of such conditions, it may be worth discussing with your healthcare provider.

Given that your doctor prescribed medication but did not schedule a follow-up appointment, it would be advisable to reach out to your healthcare provider for further evaluation. They may recommend a follow-up ultrasound to ensure that your uterus is clear of any remaining tissue and to assess the cause of the ongoing bleeding.
In terms of self-care, staying hydrated and maintaining a balanced diet can support your recovery. However, avoid any strenuous activities or heavy lifting until you have consulted with your doctor. If the bleeding becomes heavy (soaking through a pad in an hour), or if you experience severe pain or other concerning symptoms, seek medical attention immediately.

In summary, while some bleeding after an abortion is normal, prolonged bleeding should be evaluated by a healthcare professional. It is essential to communicate openly with your doctor about your symptoms and concerns to ensure proper care and recovery.