Medical abortion, Obstetrics and Gynecology FAQ

Understanding Lower Abdominal Discomfort After Medical Abortion: Causes and Concerns

Lower abdominal discomfort or pain? One month after a medical abortion, experiencing lower abdominal discomfort (with bleeding already stopped) has been evaluated by a gynecologist who confirmed that there are no issues with the uterus or ovaries. However, the discomfort typicall...

Dr. Cao Guotao Reply:
Hello, it could be uterine contractions or inflammation. If there is no change, it is recommended to visit a hospital for examination. Wishing you good health.

Concerns About Pregnancy After Medication Abortion and Hormonal Treatment

Three weeks after medical abortion, ejaculation outside the body? I apologize for the inquiry. On August 9, I had a RU (medical abortion), and on August 11, I took the second dose. During my follow-up on August 17, there was a small amount of blood. The doctor prescribed some hor...

Dr. Cao Guotao Reply:
Hello, it is still advisable to take contraceptive measures for safety. If ejaculation occurs inside, it is recommended to take emergency contraception. If it is external, it should be fine. You can consider getting an intrauterine device (IUD) after your period, once you confirm...

Understanding Early Pregnancy Tests: What to Do When Results Are Unclear

Pregnancy test (morning urine + blood draw) Hello, on July 2nd, I underwent a medical abortion due to the loss of my baby's heartbeat. After that, during my follow-up appointment, the doctor said I was recovering well and could start trying to conceive again without contrace...

Dr. Zhang Kunmin Reply:
Hello, based on your description, I recommend that you consult an obstetrician-gynecologist to arrange for urine, ultrasound, or blood tests to determine if you are pregnant. Thank you! Wishing you peace and health. Dr. Chang

Can You Have Sex After Medical Abortion? Understanding the Risks

Engaging in sexual intercourse 5 days after a medical abortion? On July 25-27, I took 1-3 doses of medication for a medical abortion, and the bleeding decreased to about the amount of a normal period over 4.5 days. On July 29, I had sexual intercourse at noon with a condom, and o...

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. Thank you! Wishing you peace and h...

Post-Abortion Contraception: When Can You Resume Sexual Activity?

Taking contraceptives after an abortion? Hello doctor, I had a medical abortion on the morning of July 13. At that time, I was four weeks pregnant. Afterward, I went back for a follow-up appointment and asked the doctor when I could start taking oral contraceptives. The doctor sa...

Dr. Zhang Kunmin Reply:
Hello, the first time you take birth control pills, it is recommended to start on the first day of your menstrual cycle. If you begin taking the pills after the second day of your period, it is advised to use additional contraceptive measures for the first seven days of taking th...

Persistent Light Bleeding Three Weeks After Medical Abortion: Is It Normal?

Bleeding persists three weeks after medical abortion? Hello, doctor. I took RU486 at the clinic on May 29 and took the second dose on May 31. During my follow-up appointment on June 5, the ultrasound indicated that everything was cleared out, and the internal examination confirme...

Dr. Zhang Kunmin Reply:
Hello, if there is persistent bleeding, the patient must return for clinical examination, β-HCG measurement, and ultrasound scanning to determine whether the embryo has been completely expelled. Thank you! Wishing you peace and health. Dr. Zhang

Understanding Pregnancy Chances After Medical Abortion: Key Insights

The likelihood of becoming pregnant after a medical abortion? I took medication for a miscarriage on June 2nd, and by June 12th, I had almost stopped bleeding. However, on June 12th, there was ejaculation inside me. Is there a chance I could get pregnant, and do I need to take em...

Dr. Cao Guotao Reply:
Hello, the chances are likely very small, but it is advisable to monitor the situation. If you are concerned, I recommend taking emergency contraception. Wishing you good health.

Can Women with Cervical Insufficiency Safely Use Medication for Abortion?

Is it possible to undergo a medical abortion with cervical incompetence? Hello, I currently have three children, the youngest being 11 months old, and I recently discovered that I am pregnant. If I want to undergo a medical abortion, can I do so with a history of cervical incompe...

Dr. Cai Yonglong Reply:
Medication-induced abortion is possible, but please stop breastfeeding for 2-3 days. If you have any concerns, please visit the gynecology outpatient clinic.

Understanding Abortion: Key Questions and Considerations for Women

Abortion Hello, doctor. I would like to ask you some questions. 1. Which method of abortion is recommended for 7 to 8 weeks of pregnancy? 2. Will hospitalization be required for a surgical abortion? 3. If both parties agree to undergo an abortion, will the doctor automatically ...

Dr. Cao Guotao Reply:
Hello, it is generally better to opt for a medical abortion at 7-8 weeks, which does not require hospitalization. If the woman is unmarried, she can make the decision herself. This is considered a minor procedure, and any questions can be directed to your obstetrician-gynecologis...

Assessing Pregnancy Risks After Ectopic Pregnancy: Key Considerations

Pregnancy Risk Assessment Hello, I apologize for the interruption. I would like to inquire about the assessment of a case involving a 20-year-old woman who experienced an ectopic pregnancy a year ago. She has recently conceived naturally without planning, and the estimated due da...

Dr. Zhang Kunmin Reply:
Hello, the method of abortion can lead to complications such as cervical injury, severe cramping, heavy vaginal bleeding, bacterial infections, and uterine perforation. The likelihood of ectopic pregnancy may not necessarily increase. However, if multiple surgical abortions or me...

Understanding Post-Medication Abortion Bleeding: What to Expect

After the first heavy bleeding following a medical abortion, there has been no further bleeding? Hello doctor, I started a medical abortion on January 5, 2022, and I stopped bleeding on January 23. Then, on March 16 around noon, I suddenly experienced heavy bleeding without much ...

Dr. Wu Xianghui Reply:
After a medical abortion, the menstrual cycle and menstrual flow may be irregular. The duration of these irregularities varies from person to person, but generally, it takes about 2 to 3 months for the cycle to return to normal.

How to Effectively Use Misoprostol for Medical Abortion

How to correctly use mifepristone for medical abortion? If you have only taken misoprostol but it seems to have no effect, what should you do to proceed with a medical abortion?

Dr. Cao Guotao Reply:
Hello, please bring your mother to the obstetrics and gynecology department for evaluation. Wishing you both good health.

How to Effectively Use Misoprostol for Medical Abortion

How to correctly use Misoprostol for medical abortion? If you only have mifepristone tablets but they don't seem to be effective, what should you do to proceed with a medical abortion?

Dr. Cao Guotao Reply:
Hello, please go to the obstetrics and gynecology department with your guardian. Wishing you good health.

Can You Get Pregnant After Medical Abortion? Key Considerations

Can I get pregnant after having a medical abortion and engaging in sexual intercourse? On February 8, I took the first dose of RU486, and on February 10, I took the second dose. After that, I experienced some expulsion, but it hasn't been completely cleared. During my follow...

Dr. Cao Guotao Reply:
Hello, it is recommended to take emergency contraception just in case. It is advised to use contraceptive measures during this period. Wishing you good health.

Understanding Medication Abortion: Common Questions and Concerns

Post-abortion questions regarding medication-induced abortion? Can a doctor visually determine through ultrasound if a fetus is not fully formed and know the gestational age? I noticed that I hadn't had my period for about a month to nearly two months, and when I went to the...

Dr. Wu Xianghui Reply:
1. Early pregnancy weeks are estimated based on the length of the gestational sac (GS) or crown-rump length (CRL). 2. Medical abortion is typically recommended for pregnancies up to 8 weeks; surgical abortion is recommended for pregnancies between 8 to 12 weeks; and medical induc...

Is the Risk of Pregnancy High After Medical Abortion and Uterine Contraction Medication?

Is there a high chance of pregnancy if engaging in sexual intercourse while still taking uterotonics after a medical abortion? After undergoing a medical abortion on January 26, follow-up visits on January 29 and February 5 indicated that there was still some residual tissue. On ...

Dr. Cao Guotao Reply:
Hello, theoretically the chances of pregnancy should be low, but it is still advisable to take contraceptive measures for safety. Wishing you good health.

Understanding the Challenges of Ru486: What to Expect and Next Steps

RU486 failure Hello Doctor, I took Ru486 on January 13 (Thursday) at 11:20 AM, and then I took the second dose (three tablets of Cytotec) at 12:30 AM on January 15. The next day, I only passed one blood clot and then nothing else, and the amount was minimal. Today, January 16, I ...

Dr. Zhang Kunmin Reply:
Hello, the success rate of medical abortion is approximately 95%, while the failure rate is about 5%. The effectiveness of various medications can vary significantly from person to person, and their effects on the body are not always comparable or predictable. The treating physic...

Do You Need Emergency Contraception After Missing Birth Control Pills?

If the emergency contraceptive pill was taken within 7 days after unprotected intercourse, is it necessary to take an additional dose? Hello, doctor! I took RU486 for a medical abortion on October 30. My period started on December 2, and on December 4, I took the birth control pi...

Can You Get Pregnant After Medical Abortion and Unprotected Sex?

Medication abortion Is it possible to get pregnant if unprotected intercourse occurs one week after a medical abortion?

Dr. Wu Xianghui Reply:
1. Theoretically, it should not happen. 2. For pregnancy concerns, please take a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after your most recent sexual intercourse.

Understanding Recent Gynecological Symptoms: When to Seek Medical Attention

Recently, it has been inconvenient to seek medical care. I would like to understand the possible conditions and then assess the severity to determine if urgent medical attention is needed? In August 2018, after taking emergency contraception for two years, I unfortunately became ...

Dr. Zhang Kunmin Reply:
Hello, based on your symptom description, it is recommended to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry. Avoid wearing tight clothing. You may soak in a bath to alleviate symptoms. If symptoms persist, please consult a physicia...

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