Abortion: When to Seek Medical Attention for Heavy Bleeding

Abortion issues

Hello doctor: I just took medication for an abortion and I've been bleeding a lot.
I've taken the medication prescribed by the hospital as well as the herbal remedy.
How long will the bleeding last, and how much is too much? Should I go to the hospital?

Xiao Wen, 20~29 year old female. Ask Date: 2016/02/14

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is possible to experience bleeding for more than a week after taking oral abortion medication.
It is recommended to return to the original clinic for a follow-up examination to ensure that the process is complete.
Wishing you good health.

Reply Date: 2016/02/14

More Info

When it comes to understanding abortion and the associated medical concerns, particularly regarding heavy bleeding, it is crucial to recognize the signs that warrant immediate medical attention.
Firstly, it is important to understand that after a medical abortion, some bleeding is normal. This bleeding can last for several days to a couple of weeks, and it may vary in intensity. However, there are specific indicators that suggest a need for urgent medical evaluation:
1. Heavy Bleeding: If you are soaking through two or more pads in an hour for two consecutive hours, this is considered heavy bleeding. It may indicate that the abortion was not complete or that there are other complications, such as retained products of conception or an infection.

2. Severe Pain: While some cramping is expected, if you experience severe or worsening abdominal pain that is not relieved by over-the-counter pain medications, you should seek medical attention. This could be a sign of complications such as an infection or an incomplete abortion.

3. Foul Smelling Discharge: If you notice any foul-smelling discharge, it could indicate an infection, which requires prompt medical treatment.

4. Fever: A fever of 100.4°F (38°C) or higher, especially if accompanied by chills, could suggest an infection and should be evaluated by a healthcare provider.

5. Dizziness or Fainting: If you feel lightheaded, dizzy, or faint, this could be a sign of significant blood loss, and you should seek immediate medical care.

6. Duration of Bleeding: While bleeding can last for a few days, if it continues heavily for more than two weeks, it is advisable to consult a healthcare provider. Prolonged bleeding can indicate complications that need to be addressed.

In your case, since you mentioned that you have been experiencing heavy bleeding after taking the medication for abortion, it is essential to monitor the situation closely. If you find that the bleeding is excessive or if you experience any of the symptoms listed above, do not hesitate to go to the hospital or contact your healthcare provider.

Additionally, it is important to follow up with your healthcare provider after an abortion, whether medical or surgical, to ensure that everything is healing properly and to address any concerns you may have. They can provide guidance on what to expect in terms of bleeding and recovery, and they can also offer support for any emotional or psychological effects you may be experiencing.

In summary, while some bleeding is normal after an abortion, heavy bleeding, severe pain, foul-smelling discharge, fever, dizziness, or prolonged bleeding are all signs that require immediate medical attention. Your health and safety are paramount, so do not hesitate to seek help if you are concerned about your symptoms.

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