Abortion, Obstetrics and Gynecology FAQ

Post-Abortion Bleeding: Understanding Color Changes and Abdominal Pain

Lochia after abortion Hello Dr. Tian: I was 8 weeks pregnant on January 2nd, but the embryo had no heartbeat, and I underwent a dilation and curettage (D&C) procedure. Today is the sixth day post-surgery. Over the past two days, I've noticed a decrease in bleeding, but t...

Dr. Tian Yiwen Reply:
If the amount of bleeding decreases and the color becomes darker, resembling the end of a menstrual period, it is likely not a significant issue. However, if abdominal pain intensifies, it is advisable to consult your physician for a follow-up appointment.

Understanding RU486: Timing and Effectiveness of the Two Doses

The first dose and the second dose of RU486? Hello doctor, I took the RU486 prescribed by you at 2 AM on January 7th. I am supposed to take the second dose about 36-48 hours later, and I haven't experienced many symptoms, just mild abdominal discomfort. I had intercourse at ...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it generally should not have an impact. However, after taking the abortion medication, you should return for a follow-up appointment to take prostaglandin medication 36 to 48 hours later. If you experience any discomfort, hospitalization for obse...

Understanding Delayed Periods and Pregnancy Tests: Key Insights

Pregnancy test after a 5-day delay in menstruation? Last month, my period was delayed by two months, and after taking medication twice, it finally came on December 1st. However, it hasn't arrived again as of today. I went to see a gynecologist and took a pregnancy test, whic...

Dr. Tian Yiwen Reply:
The obstetrician-gynecologist will explain that in order to confirm the pregnancy test results and proceed with an abortion, it is necessary to verify your identity and marital status. Therefore, identification documents, such as a national ID card, are usually required.

Understanding the Age Requirements for Autonomous Abortion Decisions

Abortion In Taiwan, individuals can make their own decisions regarding abortion at the age of 16.

Dr. Tian Yiwen Reply:
Minors (under 20 years old) require consent from a legal guardian for any artificial abortion. In addition to age, there are other relevant legal regulations. If needed, please consult with an obstetrician-gynecologist for further discussion.

Understanding Your Menstrual Cycle After Miscarriage: Key Dates and Tips

After a miscarriage, if you have had one menstrual period, when can you expect your second period? Hello, I had a medical abortion in November, and by the end of November, my follow-up showed that everything was clear. I got my period on December 8, which lasted about 6 days. Bef...

Dr. Tian Yiwen Reply:
After a miscarriage, the menstrual cycle typically returns to normal after the first period. However, a woman's menstrual cycle (ovulation period) can often be influenced by external factors such as stress or lifestyle changes, making it difficult to accurately determine if ...

Is Surgical Intervention Necessary After Incomplete Medical Abortion?

If a medical abortion is not completely successful, will the body absorb the remaining tissue without the need for surgery? I would like to ask whether a medical abortion that is not completely clean requires a curettage procedure. My last menstrual period was on October 13. On D...

Dr. Lin Wenbin Reply:
Q1. In medicine, there are no absolute procedures that remain unchanged. If you choose to trust your original physician, you should proceed with a blood transfusion followed by a thorough surgical intervention. If you opt for the physician at Chang Gung Memorial Hospital, you sho...

Understanding Uterine Inflammation: Is It a Fungal Infection?

Uterine inflammation (fungal infection) My girlfriend had a medical abortion and suction procedure about 1.2 months ago. However, in the past few days, she has been experiencing severe abdominal pain, fever, vaginal irritation, and abnormal discharge. During her follow-up visit, ...

Dr. Lin Wenbin Reply:
This condition must be confirmed through a face-to-face examination. If you do not trust the original physician, you can seek a second opinion from another doctor.

Is Abortion Legal for Down Syndrome Diagnosis After 18 Weeks?

Abortion issues In Taiwan, if a pregnant woman undergoes genetic screening for hereditary diseases at 18 weeks of gestation and discovers that the baby has Down syndrome, the legality of abortion at that point depends on specific regulations. Generally, abortion is permitted unde...

Dr. Lin Wenbin Reply:
A healthy baby with Down syndrome is not a reason for abortion. Please consult a physician for a thorough examination to check for any other congenital diseases in the fetus.

Post-Abortion Concerns: Recovery, Ovulation, and Future Pregnancy

Issues Related to Abortion Aftercare Dear Dr. Tian, The first day of my last menstrual period was October 29, 2015. During my prenatal check-up on January 2, 2016, the embryo was still at 6 weeks in size, indicating a non-viable pregnancy. I underwent a dilation and curettage (D...

Dr. Tian Yiwen Reply:
1. Due to individual physiological differences, it is difficult to accurately predict the ovulation period; for some, it may be as quick as two to three weeks, while for others, it could take more than five to six weeks. 2. Some may recommend waiting three months before trying ...

Understanding the Contraceptive Effect of First-Time Use of Etonogestrel

First-time use of Eutirox? Doctor, I underwent a medical abortion on November 18, and my first menstrual period after the abortion started on December 23. I returned for a follow-up on December 28 and began taking the first pill of Ella (ulipristal acetate) at 10 PM that night. I...

Dr. Lin Wenbin Reply:
Contraceptive pills take more than 7 days to become effective, and the effectiveness is lower during the first month.

Can Medication Be Used for Early Pregnancy Termination?

Can I take medication? Hello, doctor! Based on my last menstrual period on November 19, I should be over 6 weeks pregnant now. However, due to personal reasons, I need to terminate this pregnancy. I would like to know if, in the case of a normal embryo, the only option is to unde...

Dr. Lü Lizheng Reply:
If an ultrasound has confirmed an intrauterine pregnancy and the gestational age is less than or equal to seven weeks, medical abortion may be considered. Sincerely, Dr. Li-Cheng Lu, Taoyuan Hospital.

Do Minors Need Guardian Consent for Abortion in Taiwan?

Abortion issues I would like to ask if I am five weeks pregnant, and I am 17 years old and married, do I still need a guardian's signature to terminate the pregnancy?

Dr. Tian Yiwen Reply:
Minors who are married do not require guardian consent to terminate a pregnancy, but they do need the consent (signature) of their spouse.

Is It Normal to Experience Bleeding Three Days After D&C?

Bleeding persists three days after a miscarriage procedure? Hello doctor, my girlfriend underwent a dilation and curettage (D&C) procedure on December 19, which was successful. However, today (December 24), she is still experiencing bleeding. The first three days had stable b...

Dr. Xu Junrui Reply:
Generally, it is considered normal to have light vaginal bleeding within a week after an abortion procedure. Given your situation, I believe this is still within the normal range. I recommend a routine follow-up appointment one week post-procedure, unless the bleeding increases t...

Why Do Pregnancy Tests Still Show Positive After Abortion?

Why can pregnancy tests still detect pregnancy after an abortion procedure? Is this normal? Hello doctor: I had an abortion on December 17 and underwent a health check on December 22. The results still show a positive pregnancy test. Is this normal?

Dr. Lin Wenbin Reply:
It is possible; please return to the original physician for a follow-up appointment.

Understanding Lower Abdominal Pain After Abortion: Causes and Concerns

Lower abdominal pain? I recently had an abortion six days ago, and for the past two days, I've been experiencing lower abdominal pain that feels like cramping right after urinating. I can't stand up straight, but sitting or lying down provides some relief, although the ...

Dr. Lin Manying Reply:
No, it may be urethritis or pelvic inflammatory disease; please return for an examination.

Understanding Post-Operative Discharge: What to Expect After a D&C

Postoperative discharge? Hello Dr. Lin, I would like to ask about my recent abortion procedure on December 11. During my follow-up appointment last week, the doctor mentioned that the lochia was nearly finished, but I am still experiencing a significant amount of thick, dark brow...

Dr. Lin Wenbin Reply:
A surgical specialist needs to conduct an examination.

Understanding Emergency Contraceptives After Miscarriage: Risks and Guidelines

Emergency contraceptive pill Hello, I have a question. I took medication for a medical abortion on the 8th, and the doctor said that calculating the safe period this month is not reliable. I was advised to start taking daily contraceptive pills next month. However, a few days ago...

Dr. Lin Wenbin Reply:
Taking emergency contraceptive pills continuously can lead to hormonal imbalances in the body. Please consult a physician to discuss suitable contraceptive methods for you.

Five Days Late: Understanding Possible Pregnancy After Abortion

My period is five days late? On October 17, I had an abortion. My period came on November 18. I had protected sexual intercourse on December 5, 6, 8, 12, and 13. My period was due on December 18, but it did not arrive. That night, I had protected sexual intercourse again, and now...

Dr. Lin Wenbin Reply:
Consult a physician to examine your hormone levels for an accurate diagnosis.

Could I Be Pregnant? Understanding Risks and Symptoms

Are you pregnant? My last menstrual period started around November 22 and ended on the 28th, typically lasting about 7 days. On December 5, my boyfriend touched the edge of my vagina, but I'm not sure if there were any secretions. We didn't use a condom, and he didn...

Dr. Tian Yiwen Reply:
There have been cases of pregnancy occurring under such circumstances, so nothing is impossible. A woman's menstrual cycle may not be regular when under stress. It is advisable to wait another week, and if menstruation still hasn't occurred, consider purchasing a home p...

Understanding Medical Abortion: Managing Complications and Next Steps

Medication abortion Hello, I received my first dose on November 19 and the second dose on November 21 (about four hours later, an ultrasound confirmed that the embryo had been expelled). The doctor prescribed medication to induce uterine contractions (I experienced bleeding for a...

Dr. Zhang Kunmin Reply:
Hello, the patient must return for follow-up within one to two weeks after taking the abortion medication. Clinical examination, β-HCG measurement, and ultrasound scanning are necessary to confirm whether the embryo has been completely expelled. The medical abortion has a failure...

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