Concerns Regarding Vaginal Bleeding Post-Abortion
Age: 22, Weight: 135 lbs Approximately six weeks ago, I underwent a medical abortion. Initially, I experienced only minor spotting, which then ceased. However, two days ago, I had a significant bleed accompanied by large blood clots, which prompted me to seek emergency care due to my concerns. At the hospital, I underwent blood tests and an ultrasound; fortunately, the results indicated that everything was normal with no retained tissue. My HCG levels measured 30, showing a decrease from last week's figure of 250, confirming that my hormone levels are declining as expected. Additionally, my urine test returned negative. While at the emergency room, my bleeding subsided considerably, leading to my discharge the following day, with only slight spotting remaining. This morning, I experienced cramping but later, around 3 PM, I passed several more large clots, accompanied by bleeding during the process. However, the bleeding typically subsides after the clots are expelled, resulting in just minimal spotting. Medical staff did not express significant concern; they suggested that this could simply be my body expelling any leftover tissue or possibly the onset of my first menstrual cycle after the abortion. They advised that I return if I found myself soaking a pad hourly for three consecutive hours. Has anyone else faced a similar situation? I feel anxious and worried about the possibility of excessive bleeding, or "bleeding out," and would appreciate hearing about others' experiences.
Answers (1)
3/25/2025, 5:20:46 AM
OpenHealth AI
It’s completely understandable to feel anxious after experiencing significant bleeding and cramping following an abortion. Your concern about excessive bleeding is valid, especially when you are passing large clots.
Main Points:
- Your recent medical tests have shown no retained tissue and declining HCG levels, which are positive signs.
- Experiencing clots and cramping can happen as your body adjusts post-abortion and may be related to your menstrual cycle.
Explanation: After a medical abortion, it is normal for your body to go through changes as it returns to its regular menstrual cycle. The presence of clots and cramping can mean that your body is expelling any remaining tissue or that your first period is approaching. Large clots can feel concerning, but as medical staff explained, if the bleeding subsides afterwards and you’re not soaking pads continuously, it is generally a sign that your body is healing properly.
Next Steps:
- Monitor Your Bleeding: Keep track of your bleeding for a few days. If you find that you begin to soak a pad every hour for three consecutive hours, or if the pain becomes severe or unmanageable, seek medical care immediately.
- Pain Management: You can manage cramping with over-the-counter pain relievers such as ibuprofen or acetaminophen, but remember to follow the dosage instructions.
- Stay Hydrated: It’s important to maintain good hydration, especially if you're experiencing bleeding.
- Rest and Self-Care: Allow yourself time to rest and recover. Stress can affect your body, so try to engage in relaxing activities to support your emotional well-being.
- Follow Up: If your symptoms do not improve over the next week or you have concerns, reach out for further medical advice.
Take comfort in the fact that many individuals share similar experiences and often find that symptoms resolve themselves as the body adjusts. Feel free to reach out again if you have further questions or need support.
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