Post-Medication Abortion Complications: Symptoms and Recovery - Obstetrics and Gynecology

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Incomplete abortion after medical abortion?


After a medical abortion, there was bleeding and the expulsion of blood clots from the embryo.
However, the doctor mentioned that the uterus was not completely cleared and there was still evidence of the embryo, so a suction procedure was performed.
After the procedure, my girlfriend felt very uncomfortable, weak, and in pain because the suction was done without anesthesia.
She was prescribed medication to take for three days after meals, but she is unable to eat, feels nauseous, and is very cold.
Is this situation normal? How long is it likely to last?

Lan Tu, 20~29 year old female. Ask Date: 2015/11/21

Dr. Lü Lizheng reply Obstetrics and Gynecology


The response indicates that there should only be temporary discomfort.
However, if the pain persists or worsens, it is still recommended to seek medical attention.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/21

More Info


Post-medication abortion, also known as medical abortion, can lead to various complications and symptoms that may cause concern for those involved. It is essential to understand the potential side effects and recovery process following such a procedure to ensure proper care and support.

In your case, it seems that your girlfriend experienced significant discomfort after the procedure, which included bleeding and the passage of blood clots. This is not uncommon, as medical abortion can involve heavy bleeding as the body expels the pregnancy tissue. The presence of blood clots, especially if they are larger than a golf ball, can be a sign that the body is still in the process of expelling the contents of the uterus. If the doctor indicated that there was still tissue remaining, it is possible that the suction procedure was necessary to ensure that the uterus was cleared completely.

After a suction curettage (D&C), it is typical for patients to experience cramping and discomfort. The absence of anesthesia during the procedure can contribute to the level of pain experienced afterward. Cramping can be intense as the uterus contracts to return to its normal size, and this can be exacerbated by the emotional and physical stress of the situation. It is also common for women to feel nauseous or experience gastrointestinal upset after such procedures, especially if they are taking medication on an empty stomach. The medications prescribed post-procedure, often including pain relievers and antibiotics, can also contribute to feelings of nausea.

Regarding the symptoms of feeling cold and weak, these can be attributed to several factors. Blood loss during and after the procedure can lead to a drop in blood pressure, resulting in feelings of weakness and chills. It is crucial to monitor her symptoms closely. If she continues to feel extremely weak, experiences heavy bleeding (soaking through a pad in an hour), or has a fever, it is essential to seek medical attention immediately.

Recovery from a medical abortion can vary significantly from person to person. Generally, most women will experience a decrease in bleeding and discomfort within a few days to a week. However, some may continue to have light bleeding or spotting for several weeks. It is essential to follow up with the healthcare provider as recommended to ensure that the recovery is proceeding as expected.

In terms of care, encourage your girlfriend to rest and stay hydrated. Eating small, bland meals may help with nausea. If she is unable to keep food down, it may be necessary to consult with her healthcare provider for further advice or alternative medications to manage her symptoms.

In summary, while some discomfort and symptoms following a medical abortion are normal, it is crucial to monitor her condition closely. If her symptoms worsen or do not improve, seeking medical attention is vital to ensure her health and well-being. Recovery can take time, and providing emotional and physical support during this period is essential.

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