Is this normal after an abortion?

Question

It was about 4 months ago since my medical abortion but i noticed my periods have been heavy ever since and i have more period pain. Today i lost clots again,not lots but there was some. I didnt go back for my check up like i was suppose to,so is this normal to be losing clots still?

Answer 1

Medical Abortion (Abortion by pill)
The medical abortion is a non-surgical option available to women who are no more than eight weeks into the pregnancy (dating from the first day of the last normal menstrual period). It is a safe and effective method of ending pregnancy using a combination of medications. The Knoxville Center for Reproductive Health offers Mifeprex (mifepristone) in combination with Misoprostol. Mifeprex (previously known as RU-486) is a progesterone hormone blocker that causes changes in the uterine lining, and stops the development of the pregnancy. Misoprostol causes the uterus to contract and expel the pregnancy.

The combination of 200mg of oral Mifeprex, followed in 10-48 hours by 800mcg of Misoprostol vaginally, is an evidence-based treatment regimen that has been proven more effective and to cause fewer side effects than the regimen approved by the FDA. Studies show this regimen to be approximately 98% effective up to the 49th day of pregnancy, and approximately 95% effective up to the 56th day of pregnancy. Medical abortions beyond 49 days may be associated with a slightly higher rate of complications such as excessive bleeding, incomplete abortions, and ongoing pregnancy.

The Medical Abortion Procedure
The physician administers the first medication, a 200mg tablet of Mifeprex, which you take by mouth at the Center. You may or may not develop bleeding and/or nausea after taking this medication. You will receive a packet of four Misoprostol suppositories to take home with you for later use. You will also be provided with Phenergan tablets (for nausea) and a prescription for pain medication as well as a packet of antibiotics. You will insert the Misoprostol suppositories at home, as early as ten hours after taking the Mifeprex, and no later than 48 hours after taking the Mifeprex. Once you have inserted the Misoprostol suppositories, you should plan to be at home with no responsibilities for at least 24 hours. You will likely begin to experience bleeding, passing of blood clots, and cramping within a few hours of inserting the Misoprostol. The amount of bleeding and cramping varies greatly from one patient to the next. The heaviest bleeding usually begins as the pregnancy is moving out of the body, and lasts for two to three hours. Typically this bleeding exceeds that of a normal menstrual period, but will subside to a flow similar to a normal menstrual period after the pregnancy has been passed from the body. The average duration of bleeding is 9 to 16 days, though you may experience some bleeding for four to five weeks. Cramping can be quite painful at times. You can expect to pass blood clots that range in size from very small to quite large (the size of golf balls or oranges). Although the pregnancy is very small at this stage, you may see tissue, including the pregnancy and the lining from the uterus, passing from your vagina. Most women will pass the pregnancy from their body within 24 hours of inserting the Misoprostol suppositories. In a small number of cases, it can take weeks for the pregnancy to be expelled. A follow-up exam is required three to four weeks following treatment, to ensure that the abortion is complete. Occasionally, additional treatment and testing is required either at the time of the follow-up, or after the follow-up exam. Heavy bleeding and the passage of blood clots may be experienced after the follow-up exam. In addition, your next menstrual period may be heavier than normal, and include passing more blood clots. Each of your visits to the Center are extremely important. Failure to complete any part of the treatment can endanger your health. If you fail to return for your follow-up or fail to provide follow-up documentation from another physician, we will contact you by phone or mail.

Safety and Risks
The medical abortion is very safe and effective. However, as with any medical treatment, some risks are involved.

The Center is committed to safely and completely terminating your pregnancy. We encourage all of our patients to follow their aftercare instructions and return for their follow-up exam. If there are problems or complications that arise, we prefer that you call us directly so that we can provide you with the care and treatment necessary to successfully terminate your pregnancy.
http://www.kcrh.com

Answer 2

Abortion is the termination of pregnancy by the removal or expulsion from the uterus of a fetus or embryo before viability. An abortion can occur spontaneously, in which case it is often called a miscarriage, or it can be purposely induced. The term abortion most commonly refers to the induced abortion of a human pregnancy. VISIT HERE ..

Answer 3

More than likely none of us are doctors. I highly suggest that if you have ANYTHING abnormal in regards to your uterus/cervix/etc. because there could be a problem that isn't even associated with the medical abortion.

I've had one of those before, I'd have to say the weirdest feeling in the world is passing the lemon-sized clot! Its like giving birth to an octopus! Afterwards my period was slightly more clotty for about a month, but returned to normal after that.

Answer 4

I am a student of the "Nothing is Really Normal in Female Reproductive Issues"! I think you should go to your GYN and get a check up. Did they give you antibiotics when you had your "medical abortion"? Did you take all of them? Anyway please do yourself a favor and get checked up and while I don't know anything about the circumstances of your pregnancy/abortion, please check into getting on some sort of contraceptive!

Answer 5

i wouldnt have skipped my follow up if i was you. I'd suggest seeing someone ASAP. Theres a reason WHY they tell you to have follow ups. To make sure eveything has healed ok..etc. Same with after birth.. you go in for a 6 wk follow up. Most dont skip that. So i dont see why you should have skipped yours!

Answer 6

Yes, and you better get back to the doctor. You could be damaged from this... how about another form of birth control?

Answer 7

Before commenting on anything I would suggest you to go for a check-up. Atleast you'll get right advice from physicians.

Answer 8

make the appt with a OB/GYN-more of an assessment is needed to answer your questions. remember your body-it still thinks you should be pregnant for another 5 months!get contraceptive while your there! oh... butrfly TMI

Answer 9

C ur your docter as soon as possible! Too much blood loss is never good sign,

Answer 10

visit your doctor, that might help you to know what is exactly wrong with you