Abortion, Obstetrics and Gynecology FAQ

Starting Birth Control Pills: Timing After Your First Menstrual Cycle

Use of contraceptive pills? Hello Dr. Chang, I would like to ask you about taking birth control pills for the first time. I had a medical abortion with RU-486 at the end of March, and I just finished my first menstrual period. It was only three days long, and then I had a littl...

Dr. Zhang Kunmin Reply:
Hello, For first-time users of oral contraceptives, it is recommended to start taking the pills on the first day of your menstrual cycle. If you begin taking the contraceptive pills after the second day of your period, it is advised to use additional contraceptive measures for ...

Understanding High Prolactin Levels After Miscarriage: Key Concerns

Elevated prolactin levels? Hello Doctor, I was informed that I was pregnant in mid-March of this year, but the fetus had no heartbeat. I underwent a surgical abortion on April 16 (the fetus had stopped developing at 6 weeks). Since May 16, I have been experiencing pinkish dischar...

Dr. Cao Guotao Reply:
Hello, the prolactin level is quite high at 144. It is advisable to consult with an obstetrician-gynecologist or a neurosurgeon for further evaluation. Wishing you good health.

Understanding Irregular Menstrual Cycles and Ovulation Bleeding

Irregular menstrual periods with heavy bleeding during ovulation? Recently, my menstrual cycle has been irregular: February 22, April 2 (I saw a doctor in between, who indicated that occasional irregularities are not a concern, so no medication was prescribed), May 6 (only lasted...

Dr. Wu Xianghui Reply:
1. For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse. 2. For abnormal bleeding and irregular menstrual cycles (including early pregnancy bleeding and spontaneous abortion), there are many poten...

Understanding Delayed Periods: Causes, Concerns, and Next Steps

Menstrual period delayed by five days? On April 19, I had my period and it ended on April 24. On May 2, I had intercourse with my boyfriend for the first time. The first time we used a condom, and the second time, after he washed in the bathroom, we had unprotected sex, but he di...

Dr. Zhang Kunmin Reply:
Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. Additionally, early pregnancy does not always present specific symptoms, and subjective symptoms cannot be used to make ...

Understanding Bleeding Patterns After Taking RU486: What to Expect

I just had my second dose of blood and it didn't flow much? Hello Doctor, I would like to inquire about my situation. On May 15th, an ultrasound showed that the embryo was three weeks old. On May 16th, I took the first dose of RU486 at the clinic, and the next day I took the...

Dr. Huang Yuande Reply:
Using RU486 for abortion, general bleeding typically occurs around 12 days later, with heavier bleeding following the intake of the second dose. It is recommended to visit an obstetrician-gynecologist for an ultrasound after taking the second dose to confirm that the uterus is cl...

Understanding Irregular Bleeding After Medication Abortion: What to Expect

Intermittent bleeding after a miscarriage? I underwent a medical abortion on March 13 of this year, and I experienced intermittent bleeding until the end of March. By that time, the bleeding had decreased, and my doctor mentioned that everything appeared to be cleared out. A preg...

Dr. Cao Guotao Reply:
Hello, it is possible that it hasn't been fully cleared yet. I recommend returning to the original clinic for continued monitoring. Wishing you good health.

Understanding Body Temperature Changes and Discomfort After Abortion

The issue of elevated body temperature and hot flashes from pregnancy to post-abortion? I'm sorry to bother you, doctor. I have many questions, and I appreciate your help. I am a patient with generalized anxiety disorder, and I have been suffering from long-term insomnia due...

Dr. Wu Xianghui Reply:
1. After an abortion, there is a risk of developing pelvic inflammatory disease; it is recommended to return to the original facility for a follow-up. 2. Symptoms influenced by pregnancy hormones may take about one month to return to normal.

Unexpected Bleeding 18 Days After Medical Abortion: Causes and Concerns

Sudden bleeding 18 days after a medical abortion? Hello doctor, I discovered I was pregnant for 4 to 5 weeks at the end of March and decided to undergo a medical abortion. After taking the medication, I experienced bleeding for over a week, which then stopped. However, in the thi...

Dr. Cao Guotao Reply:
Hello, you still need to return to the hospital for an examination to determine if everything has cleared out properly. Wishing you good health.

Understanding Pregnancy Testing and Early Care After Miscarriage

Pregnancy test questions Hello doctor, I would like to confirm if I am pregnant. 1. My last menstrual period was on February 2nd, and I had sexual intercourse around February 13th without any contraception. I expected my next period on March 3rd, but it did not arrive. I took a p...

Dr. Wu Xianghui Reply:
For prenatal check-up concerns, please visit the outpatient clinic for evaluation by an obstetric specialist.

Post-Abortion Recovery: What to Expect After Vacuum Aspiration

Abortion Hello Doctor, I underwent a vacuum aspiration procedure at 9 weeks of pregnancy, and it has been 20 days since then. I experienced light brown bleeding for 14 days after the procedure. During my follow-up visit, the doctor administered a medication to promote uterine con...

Dr. Cao Guotao Reply:
Hello, it should be monitored. If you still feel unwell, it is advisable to return to the hospital for a consultation. Generally, it does not affect future pregnancies. Wishing you good health.

Understanding Post-Abortion Bleeding: Causes, Risks, and Treatments

Persistent bleeding after surgery? Hello Doctor: I underwent a dilation and curettage (D&C) procedure on March 12, but I am still experiencing persistent bleeding. The amount is less than what a pad can hold, and the blood is dark brown at times, while at other times it is br...

Dr. Wu Xianghui Reply:
1. What is a retroverted uterus? How does a retroverted uterus affect me? Why does the uterus tilt backward? A: The uterus tilts toward the intestines rather than the bladder; the causes and effects of a retroverted uterus vary from person to person. 2. If I take hormone medica...

Understanding Painful Intercourse After Miscarriage: Causes and Solutions

Dyspareunia Hello Doctor: On January 21 of this year, we discovered that our baby had no heartbeat and chose to undergo a medical abortion. We began having intercourse in mid-February, and my first menstrual period after the abortion started on March 27. Since then, I have experi...

Dr. Wu Xianghui Reply:
Pain during sexual intercourse can have various underlying causes, and it is recommended to seek evaluation from a gynecologist in an outpatient setting.

Can You Get Pregnant After a Medical Abortion? Understanding Risks

Pregnancy probability If pregnancy was confirmed on March 14 at 4 weeks, and the first dose of medication for abortion was taken on March 14, followed by the second dose of uterine contraction medication on March 16, and an ultrasound on March 21 confirmed no embryo was present, ...

Dr. Cao Guotao Reply:
Hello, there is still a chance. It is recommended to take emergency contraception. Wishing you good health.

Post-Medication Abortion: Can You Get Pregnant After Sex?

Sexual intercourse after medical abortion? I discovered I was pregnant at 5 weeks in March. I went to the hospital for an examination on March 15 and chose medical abortion. I took the first dose of medication on March 17 and returned for a follow-up to take the second dose until...

Dr. Zhang Kunmin Reply:
Hello, based on the situation you described, the chances of pregnancy are low. However, it is still recommended that you take appropriate contraceptive measures. If necessary, you may also consult a physician for evaluation. Thank you! Wishing you safety and health. Dr. Zhang

Will Vomiting After Taking Medication Affect Abortion Success?

Medication abortion issues Hello, doctor. I took the medication under supervision around 8:50 PM on an empty stomach. After leaving the clinic, I went to have dinner. Halfway through my meal, I felt nauseous and vomited between 9:30 and 9:40 PM. I would like to know if this could...

Dr. Cao Guotao Reply:
Hello, it should not have a significant impact, but you should still return to the original clinic for follow-up. Wishing you good health.

Is It Normal to Experience Heavy Bleeding Two Weeks After Abortion?

Bleeding two weeks after an abortion? I had a surgical abortion on March 7th, and starting from the second day post-procedure, I experienced light brown spotting that continued until my follow-up appointment on March 16th. The doctor mentioned that it seemed like not everything h...

Dr. Cao Guotao Reply:
Hello, I still recommend returning to the original clinic for follow-up to see if everything has been properly addressed. Wishing you good health.

Understanding Post-Medication Abortion: What to Expect After RU486

Post-abortion care following medical abortion? Hello Doctor, I heard from a friend that RU486 is usually divided into three doses, but I took it in five packets (the doctor said I was four weeks pregnant). I only know that the first packet is to stop growth, but I'm unclear ...

Dr. Cao Guotao Reply:
Hello, it is normal to experience some bleeding after surgery. You just need to follow your doctor's instructions and return to the original clinic for follow-up. Wishing you good health.

Post-Abortion Concerns: Understanding Symptoms and Recovery

Post-Abortion Issues You are approximately five weeks pregnant. On February 13, you took the first dose of medication for medical abortion, followed by the second dose on February 15. During your follow-up appointment on February 19, it was confirmed that there was no visible emb...

Dr. Lin Manying Reply:
Hello Ms. Ju: After a medical abortion, please pay attention to the following: (1) Bleeding duration (if it exceeds 14 days, please seek medical attention). (2) Whether your next menstrual period has arrived after the abortion (it is recommended to return for a follow-up appointm...

Post-Medication Abortion Care: Common Questions and Concerns

Please ask your questions related to medication abortion? Hello, Doctor. I underwent a medical abortion on January 15 using a suppository method, and I expelled the embryo that same day. However, I have not completely passed all the blood clots, and on February 8, I had a suction...

Dr. Wu Xianghui Reply:
Because you are undergoing both medication-induced abortion and dilation and curettage (D&C), it is recommended that you first visit your original obstetrician-gynecologist for an evaluation, as an online consultation cannot provide appropriate answers.

Optimal Timing for Pregnancy After Medication Abortion: Key Considerations

How long after a medical abortion is it best to conceive for the baby's health, and how long do the medications remain in the body before being eliminated? I took the first dose on January 8 and the second dose on January 10. Two weeks later, since there was still some tissu...

Dr. Wu Xianghui Reply:
Due to the differences in medications used for medical abortion, the appropriate time to conceive again varies. Please consult with the obstetrics and gynecology department for guidance.

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