Heavy Bleeding After Medication Abortion and Aspiration - Obstetrics and Gynecology

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Heavy bleeding after a medication abortion, especially following a surgical aspiration, can be a concerning experience for many women. It is important to understand the normal physiological responses after such procedures and when to seek further medical attention.

After a medication abortion, it is common for women to experience bleeding as the body expels the contents of the uterus. This bleeding can vary in intensity and duration. Typically, the bleeding may start heavy, resembling a menstrual period, and then gradually decrease over the following days or weeks. However, if a surgical aspiration is performed afterward, the bleeding may initially increase due to the procedure itself, as the uterus is manipulated and any remaining tissue is removed.

In your girlfriend's case, experiencing heavy bleeding after the aspiration is not uncommon. The fact that she is soaking through pads quickly could indicate that the bleeding is heavier than expected. While some bleeding is normal, there are specific signs that warrant immediate medical attention:
1. Soaking through two or more pads in an hour for two consecutive hours: This is a sign of potentially excessive bleeding and should be evaluated by a healthcare provider.


2. Passing large clots: If she is passing clots larger than a golf ball, this could indicate that the uterus is expelling tissue, which may require medical evaluation.

3. Severe abdominal pain: While some cramping is expected, severe or worsening pain could indicate complications such as retained tissue or infection.

4. Fever or chills: These symptoms could suggest an infection, which requires prompt medical attention.

5. Persistent heavy bleeding beyond a few days: If the bleeding does not start to decrease after a few days, it is important to consult a healthcare provider.

In terms of management, if the bleeding is heavy but not accompanied by the above alarming symptoms, it may be advisable for her to rest, stay hydrated, and monitor her symptoms closely. Over-the-counter pain relief, such as ibuprofen, can help manage discomfort and reduce bleeding by promoting uterine contractions.

If the bleeding continues to be heavy or if any concerning symptoms arise, it is crucial to return to the healthcare provider for further evaluation. They may perform an ultrasound to check for any retained products of conception or assess for other complications. In some cases, additional medical intervention may be necessary, such as medication to help the uterus contract or, in rare cases, another surgical procedure.

In summary, while heavy bleeding can be a normal response after a medication abortion and subsequent aspiration, it is essential to monitor the situation closely for any signs of complications. If your girlfriend experiences any of the concerning symptoms mentioned, seeking medical attention promptly is the best course of action to ensure her health and safety.