When does menstruation begin after medical termination of pregnancy? There is no bleeding after an abortion: is this normal, what to do.

Abortion is a procedure for terminating a pregnancy artificially. Like any medical intervention, even the most seemingly safe one, abortion can have adverse consequences. One of the most common complications is bleeding after an abortion.

Before the termination procedure, the woman should be explained how much and when blood can be released, and in what situations to seek help. Bleeding after termination of pregnancy always occurs, with any method of termination.

The important fact is that post-abortion bleeding, although similar in volume, is not menstrual flow.

When terminating a pregnancy, bleeding occurs due to rejection of the fertilized egg and associated vascular damage, and not due to expulsion of the endometrium, as during menstruation. Termination of pregnancy can be carried out only in the first 20 weeks of gestation. Abortion during the period of intrauterine development up to 12 weeks is performed at the request of the woman, regardless of the course of pregnancy, and in later stages - strictly according to doctors’ indications. An exception is made only for pregnancy up to 22 weeks, if it occurs as a result of rape.

The following methods are used for medical termination of pregnancy:

instrumental method (“curettage”);
removal of the fertilized egg using a vacuum aspirator;
medical abortion using drugs that terminate pregnancy.

The choice of method for terminating a pregnancy is up to the woman and is determined by the capabilities of the medical institution to which she applied. Each method has its pros and cons. But absolutely any termination of pregnancy is fraught with the development of pathological bleeding.

Bleeding after instrumental abortion

Instrumental abortion is one of the most common gynecological operations. But despite this, this type of abortion is rightfully considered the most traumatic and associated with the development of serious complications.

During instrumental interruption, the cervical canal first expands. Then a curette with sharp edges is inserted into the uterine cavity, and the entire endometrium, including the fertilized egg, is “blindly” scraped out. Naturally, this causes injury to the uterine walls, damage to blood vessels, and therefore bleeding is inevitable.

It is difficult to say how long the bleeding will last after such an abortion. Each woman is individual, and it is impossible to predict how her body will behave after surgery. On average, blood is released within 10-28 days. The discharge is similar to menstrual discharge, but may last for a few days. Then the discharge becomes pink, and then spotting brown and gradually stops.

Sometimes, in the case of an incorrectly performed operation, when parts of the fertilized egg remain in the uterine cavity or a through puncture of this organ occurs, massive bleeding develops. In this case, against the background of heavy discharge, the woman feels weak, the skin becomes pale and covered with sticky sweat, a drop in pressure and loss of consciousness may occur. This condition requires urgent medical attention. To stop bleeding, repeated “curettage” may be necessary, and sometimes, in especially severe cases, even removal of the organ.

Bleeding after vacuum aspiration

Vacuum aspiration of the fertilized egg is performed exclusively in the early stages of gestation (during pregnancy up to 9 weeks). This method is considered less traumatic. Under local anesthesia, an aspirator is inserted through the lumen of the cervical canal into the uterine cavity. The fertilized egg is separated from the uterine wall by vacuum. This can be done either manually or using an electric vacuum suction device. The uterus remains intact during such manipulations.

It starts on the second day and lasts about two weeks.

In this case, the amount of discharge should be small. If bleeding lasts longer than expected or becomes heavy, a complication has probably developed. In this case, you urgently need to see a doctor. The causes of complicated bleeding are incomplete removal of the fertilized egg and/or a violation of the blood coagulation system.

Bleeding after medical abortion

Medical abortion is considered the most gentle method because it does not cause mechanical damage to the structure of the uterus. Termination of pregnancy using abortifacient medications is carried out only at short stages of pregnancy. To do this, they use a powerful hormonal agent that blocks progesterone, the main hormone of pregnancy, as a result of which embryo rejection and active contractions of the uterus begin.

Sometimes a medical abortion can be performed at home. The pill is taken after an appropriate examination in the doctor’s office, under his guidance. Bleeding should start within two hours. Contracting drugs may be administered to enhance uterine contractions. Along with copious bleeding, a pink round clot comes out - the fertilized egg. After two days, the woman should see a doctor and tell her whether a “miscarriage” has occurred.

Bleeding after a medical abortion lasts up to a month, and the menstrual cycle is restored within a maximum of six months.

This is due to hormonal changes in the body. If during the first three days the bleeding intensifies, it means complications have arisen. They can be caused by either incomplete release of the fertilized egg or a blood clotting disorder.

How to stop bleeding yourself

Women often wonder: how to stop bleeding after an abortion at home? There is only one answer to it: no way. If, after the termination operation, excessive bleeding begins, then this is a reason to immediately go to the hospital, because only a doctor can assess how dangerous the development of complications can be.

Signs of complications after termination of pregnancy:

bleeding did not start after a week;
the bleeding that started stopped abruptly after a few days;
there has been bleeding for more than a month after an abortion;
the volume of discharge increases;
bleeding is accompanied by weakness, pallor, drop in pressure, and severe pain.

An unfavorable symptom is both a sudden cessation of discharge, which carries the danger of hematometra (accumulation of blood in the uterine cavity), and increased bleeding. In order to determine the latter condition, you need to count how many night pads are used within an hour.

Bleeding is dangerous, especially for women with Rh-negative blood in their first pregnancy. This is due to the fact that Rh-positive antigens of the embryo enter the bloodstream. As a result, antibodies against foreign red blood cells begin to form in the mother's blood. The result of this is that in subsequent pregnancies the mother’s body “attacks” the baby’s red blood cells, causing severe hemolytic disease of the fetus and newborn or miscarriage.

Making the decision to have an abortion is always difficult. Before taking this step, a woman must realize that even the safest methods of terminating a pregnancy can lead to complications. If uterine bleeding develops, immediately seeking medical help will help preserve reproductive function, and in some cases, life.

Termination of pregnancy is not always carried out at the request of the patient herself; quite often the indications for such a procedure are fetal fading, the presence of any anomalies in embryonic development and other medical factors. In any case, abortion is an intervention in a woman’s organic structures, therefore it has a stressful effect and can have characteristic consequences. A fairly common consequence is bleeding after an abortion. More precisely, it is inevitably present, but sometimes its character is of pathological origin. When can spotting be a manifestation of the norm, and when should you sound the alarm and run to the doctor?

If your health worsens, you should urgently seek medical help.

The appearance of blood after an abortion is quite normal, even a characteristic phenomenon for the post-abortion state, which is a typical organic reaction to hostile outside interference. You need to be able to distinguish normal discharge from pathological bleeding. It is quite normal if immediately after surgical curettage the patient bleeds so profusely that she can change up to 3-4 sanitary pads in just an hour.

Bleeding with a correctly performed artificial interruption usually begins immediately after cleaning, since the fetal vascular system is damaged by gynecological instruments during curettage and detachment of the embryo from the uterine wall. After an abortion, there is always bleeding, regardless of how the termination was performed, be it a mini-abortion, medical termination, or curettage of the uterine cavity.

There is no need to rejoice if after abortive procedures the patient has no bleeding; there is nothing good in such a sign and certainly does not mean that the operation was successful. As a rule, after an abortion there is no blood if the bloody clots are not able to get out of the uterine cavity on their own, which is dangerous due to infectious complications and infections. Therefore, if there is no blood in combination with poor health and severe weakness, it is necessary to urgently visit a gynecologist.

Causes of bleeding

Sometimes bleeding after an abortion is spotting, although the blood may flow too heavily, which is typical for such cases:

Uterine traumatic injuries received during abortion using gynecological instruments;
Unsuccessful detachment of the fetus;
Dysfunctional disorders of uterine activity;
Incomplete cleansing of the fallopian tubes from fetal remains;
Violation of surgical intervention technologies;
Inadequate organic reaction to anesthesia used before the procedure;
All kinds of stressful situations that a woman experienced during pregnancy and even before it;
Taking hormonal drugs;
Increased activity or physical fatigue;
Violation of blood clotting processes.

If, in addition to bleeding, the patient experiences an increase in temperature, pressure changes or nausea and other pathological signs after an abortion, then an urgent need to go to the hospital. Because such symptoms can be caused by an infectious lesion or a poorly performed surgical termination of pregnancy.

How long do they go?

During the recovery period, it is important to include fresh fruits and vegetables in your diet.

To understand how normally post-abortion recovery proceeds, you need to know how much blood flows after abortions. The duration of bleeding depends on the method used by the doctor to interrupt. Typically, abortive interventions are carried out with medication or vacuum surgery.

Drug intervention involves interruption by taking tablets containing a loading dose of hormonal substances. As a result, the body experiences a powerful hormonal attack, leading to the rejection of the embryo and its exit from the uterine cavity mixed with blood. As a rule, after pharmaabortion, blood masses continue for quite a long time, because the placental and fetal membranes leave the uterus along with the blood. In addition, fetal rejection, and then the regeneration of the endometrium, takes quite a long time (7-17 days), so the blood can flow for quite a long time. There are cases when post-abortion discharge imperceptibly turns into scheduled menstruation, then the bleeding can last 3-4 weeks.

With vacuum interruption, the fetus is suctioned using specialized equipment that creates a vacuum. After such an interruption, the bloody discharge is rather light in nature, although at first the blood may flow quite intensely. Already on the second day, the discharge takes on the character of a smear. Usually, after interruption by vacuum aspiration, the bleeding does not last long, about 3-7 days, while the amount of discharge is insignificant, therefore, as a rule, no patient experiences any pain.

If the interruption was carried out in a standard surgical way, then intervention is assumed in the uterine cavity, from where, using a curette, the doctor scrapes out the fetus and placental rudimentary tissues. This operation causes quite unpleasant pain, so it is performed using anesthesia. Usually the bleeding continues for about 4-14 days, and at first blood clots are released mixed with pieces of tissue, but as healing progresses, the bleeding is less intense, and then the bleeding goes away completely.

Features of discharge

It is very important to strictly monitor the nature of the bleeding. Discharge consisting of remaining pieces of tissue scraped out during an abortion procedure is considered normal. It is thanks to such post-abortion bleeding that pathogenic microorganisms cannot penetrate into the uterine cavity.

Usually in the first day or two after the abortion procedure, bloody and clot-like discharge comes out quite abundantly, sometimes whole pieces of an incomprehensible nature come out.
Then the bleeding decreases and becomes lighter.
Then the discharge turns brown, becomes spotty and gradually stops.
If immediately after gynecological curettage, abundant blood clot-like masses containing many large pieces are observed, then, most likely, the intrauterine cavity was not cleaned well enough, which is fraught with the development of pathologies and complications. How well the cleaning is done, the faster and more favorable the rehabilitation will be.
The abundance of clots in the discharge is typical and is considered normal only for surgical abortion.
If bleeding on the first day is not heavy enough and more like a spot, then there is a risk that blood clots have accumulated in the uterine body and are not able to leave it naturally. This is very dangerous because it provokes the formation of intrauterine infectious processes, because bleeding acts as a protective reaction that cleanses, restores and protects the female reproductive structures.

In general, normal post-abortion bleeding is heavy at first, but already on the second day it decreases and after a couple of days it becomes spotty. Doctors usually say that the longer the period before the abortion, the greater the blood loss after the abortion.

First aid for bleeding

After the procedure, the woman needs psychological support

If a woman suffers from severe bleeding for a long period of time, then it is necessary to urgently consult a gynecologist, and in case of particularly acute bleeding, call an ambulance. While the medical team is getting to your aid, you can provide first aid yourself. To reduce the intensity of bleeding, doctors recommend lying on your side or back, trying to relax and avoid jerking and standing up suddenly.

It is also useful to apply a cold compress to the peritoneum, which will help reduce bleeding. Taking any painkillers is not recommended. You need to put a pad between your legs for heavy discharge (maxi), and place a cushion under your legs to direct the blood flow to the head, thereby reducing the intensity of bleeding. To avoid provoking repeated excessive bleeding after treatment, it is recommended to get more rest, avoid overwork, and avoid heavy lifting and physical activity.

It is also necessary to avoid stressful situations that have a stimulating effect on the nervous system structures. You cannot take any medications on your own, but only as prescribed by a doctor. Until the body recovers and returns to normal, any unhealthy habits are prohibited, as are all kinds of dietary nutrition programs. A woman needs sexual rest until the end of her first menstruation. If there is bleeding, tampons should not be used, because they can cause stagnation of clots, which will lead to infection and the formation of new lesions.

So, bleeding after interruption is considered normal, but there are types of bleeding that can pose a danger to the patient, for example, the absence of bloody discharge or its excessive abundance for a long time.

When you need specialist help

Bleeding is a temporary symptomatic phenomenon for any type of abortion, which should stop after 7-17 days.

An abnormal symptom is the appearance of bleeding a week after interruption.
Also abnormal is the absence of discharge, indicating spasm of the uterine body or blockage of the cervical canal by a blood clot. Blood clots do not come out, creating favorable conditions in the uterine body for the development of pathogenic microorganisms.
If there is excessively abundant or, on the contrary, scanty discharge, then the woman, as a rule, is cleaned again with a curette.
Also considered abnormal are excessively sharp pains and cramps in the lower abdomen, the presence of purulent masses or a nauseating odor in the discharge, a bright red tint of blood in the discharge, the presence of severe weakness and nausea and vomiting syndrome.

In all of the above cases, urgent intervention by specialists is necessary. You should not hope that the bleeding will stop, wasting precious time, it is better to call an ambulance.

After any termination of pregnancy, doctors give the woman a number of recommendations regarding lifestyle and other aspects. Firstly, a woman needs to strictly monitor her own condition and avoid hypothermia. Secondly, you should not take blood thinning drugs and give up alcohol.

Follow all medical instructions, take a preventive course of antibiotic therapy and anti-inflammatory therapy. The duration of such treatment is approximately 3 days. You should also give up sexual pleasures for at least a month. Even if a month after the operation your period has not come, you must take precautions, because a new pregnancy can occur even before the first menstruation begins, and this is very dangerous, because such fertilizations often end sadly, i.e., spontaneous miscarriage.

Abortion is by no means an ordinary surgical intervention, although many consider it as such. This is a severe invasion of the patient’s internal processes, or, more precisely, into the sexual reproductive structures, which react unpredictably to such barbaric intervention. Therefore, the consequences of an artificial interruption are also difficult to predict. Bleeding may not be as harmless as it seems, therefore, after interruption, it is extremely important for patients to closely monitor the nature of the bleeding and their internal sensations. Only it is possible to prevent a tragedy in a timely manner.

Medical abortion is used not only to terminate an unwanted pregnancy, but also when women have certain diseases that interfere with the normal development and formation of the fetus. Medicinal abortion tactics are used only in the early stages of gestation - up to 6 obstetric weeks. Later, this method is not used due to the fact that it may not lead to a positive result. After an abortion, all women experience copious bleeding from the vagina. By its nature and quantity, you can tell how successful the procedure was. Now you will find out what kind of discharge after medical termination of pregnancy is normal and how long it should be observed.

How is medical abortion performed?

Before talking about how many days the discharge lasts after termination of pregnancy, it is necessary to first tell how this procedure is carried out. When implementing it, special drugs are used that block the synthesis of progesterone (the hormone responsible for the normal course of gestation) and reduce its level in the body to a minimum. As a result of this, the following happens:

Stopping the development of the embryo.
Detachment of the fertilized egg.

After a medical abortion, many doctors prescribe pills to their patients that speed up the recovery of the uterus, which have a contracting effect. They enhance the contraction of the smooth muscles of the organ, thus facilitating its complete cleansing of the fertilized egg.

The exit of the embryo from the uterine cavity is accompanied by the release of scarlet or pink blood clots and lumps from the vagina. And as soon as it comes out completely, slight bleeding opens, which, as a rule, is not accompanied by severe abdominal pain.

However, some deterioration in the patients' condition is noted. After an abortion, there is a sharp change in hormonal levels, which can affect the mood and general emotional background. Just like after any other abortion, patients experience an increase in temperature (no more than 37.4 degrees) and slight weakness. But already 1–2 days after the drug abortion, the condition returns to normal.

It should be noted that many women are confident that medical abortion is the safest method of terminating a pregnancy. However, it is not. Despite the fact that during this procedure the uterus is not subjected to mechanical stress, a real hormonal storm is observed in the body. And this can cause not only disruption of the cycle after an interrupted gestation, but also the appearance of other health problems.

How long does it take to recover after a medical abortion?

It is difficult to say exactly how quickly recovery will take place after a medical termination of pregnancy and how much bleeding will occur during the rehabilitation period. After all, each body is individual and its complete recovery takes different times for everyone.

The appearance of blood clots on the first day after medical termination of pregnancy is considered normal. Their occurrence is caused by the release of the fertilized egg. And the opening of bleeding during this period is observed due to the fact that after the onset of gestation, the pelvic organs are actively supplied with blood and after its interruption it begins to come out.

If a medical abortion was carried out correctly, then copious bleeding is not observed for long, since essentially no mechanical damage to the mucous membranes of the uterus and its vessels occurred, therefore, no open wounds are formed in the organ.

And speaking about how recovery goes after a medical abortion and how many days bleeding can be observed, it should be noted that in the absence of complications, the woman’s condition should normalize after 2-3 days. After this time, the blood begins to be released much less. It acquires a brown tint, which signals a good level of blood clotting and the successful completion of the recovery period.

The duration of brown discharge varies among women. But, as a rule, daubing in this case is observed for 5–10 days, no more. After a woman stops smearing from the vagina, after some time another menstruation may occur, which is also quite natural, since the body undergoes serious hormonal shocks, and the occurrence of menstruation several times a month does not indicate the development of pathological processes.

It should be noted that the longer the gestational age at which the medical abortion was performed, the longer the recovery period will last. Normalization of hormonal levels takes a long time - up to 6 months. And at this moment, shifts in the menstrual cycle and some changes in the nature of the blood released during menstruation may be observed.

But do not forget that cycle disruption is also characteristic of various pathologies, and therefore, if menstruation occurs very often and lasts longer than usual, you must definitely visit a doctor and have an ultrasound done to make sure there are no complications.

In what cases is it necessary to consult a doctor?

After a medical abortion has been performed, the woman is scheduled for a repeat ultrasound examination 5–7 days after the procedure. However, in some situations, complications that arise make themselves felt much earlier than the ultrasound is performed, which requires immediate consultation with a doctor, and sometimes emergency hospitalization of the patient.

If after a medical abortion, after 2-3 days a woman continues to bleed profusely, a bloody clot is periodically released from the vagina, an unpleasant odor appears or the stomach begins to pull, this is no longer considered normal. All these signs indicate the presence of complications that require immediate treatment.

The most dangerous are bloody discharges accompanied by:

An increase in temperature above 38 degrees.
Dizziness.
Reduced blood pressure.
Severe weakness.
Pallor of the skin.

The presence of all these symptoms is a sign of uterine bleeding. Its distinctive feature is that when it opens, the discharge retains its scarlet color for a long time (normally, within a day it should become darker) and they are released in very large quantities, which is why a woman has to change sanitary pads more often 1 times every 1.5–2 hours.

If the bleeding lasts more than 12 hours, the body loses a lot of blood, which causes a decrease in the amount of nutrients supplied to its tissues, including oxygen. Against the background of oxygen starvation, the functionality of cells is disrupted and most of them die, which entails the occurrence of irreversible processes in the body. Therefore, it is so important to promptly notice the opening of uterine bleeding and immediately call an ambulance.

Important! To stop bleeding, doctors administer a hemostatic drug intravenously. This is carried out only in a hospital setting, since the body’s reaction to it can be unpredictable.

If a woman already has scanty periods on the 3rd or 4th day, but at the same time there are blood clots in them, you should not hesitate to consult a doctor either. The appearance of bloody clots only during the first 24 hours after an abortion is considered normal; then their occurrence has nothing to do with the norm.

As a rule, blood clots occur due to incomplete release of the fertilized egg from the uterine cavity, resulting in the need for surgical cleansing of the organ (curettage). After all, if this is not done, the remains of the fertilized egg in the uterine cavity will begin to rot, which will lead to not only severe inflammation, but also the development of necrotic processes, which may be followed by an abscess and sepsis.

No less dangerous is the presence of light pink discharge, which contains streaks of blood. Their occurrence indicates a disruption in the flow of blood from the uterus due to obstruction of the cervix. Often this condition is observed against the background of the formation of a blood clot in the cervix and it should also be removed immediately, since it causes stagnation in the uterine cavity, which leads to severe inflammation and the development of purulent processes.

To eliminate stagnation and normalize the flow of blood from the uterine cavity, both medical and surgical treatment methods are used. It all depends on the severity of the process and the general condition of the patient. After the cervix is cleared of the clot, the woman also begins to bleed. It can be observed for 10–12 hours, but if it lasts longer, then it must be stopped with the help of special medications.

Other possible complications

Every woman should understand that termination of pregnancy is a serious stress for the body, and therefore, after an abortion, conditions may arise that require additional treatment.

As already mentioned, after an abortion, women often experience disruptions to their menstrual cycle. But this is not the only thing to expect after the procedure. Stress causes decreased immunity and exacerbation of chronic diseases, so during rehabilitation a woman should be attentive to her condition.

In addition, during this period there is a high risk of developing infectious processes in the body. The reason is neglect of the doctor’s recommendations regarding the need to abstain from sexual intercourse for the first few weeks, as well as insufficient hygiene.

The main sign of the development of infectious processes is the appearance of yellow discharge that has a sharp and unpleasant aroma. The yellowish tint and smell are given to them by substances that bacteria secrete during their life processes.

When infections develop, vaginal secretions are released in small quantities, but are often accompanied by:

Itching and discomfort in the perineum.
Increasing temperature.
Nagging pain in the abdomen.

Provocateurs for the development of infectious processes in the body are streptococci, staphylococci, chlamydia, gardanella, etc. If a woman was diagnosed with chronic infections that are permanent in nature (for example, thrush), before termination of pregnancy, then they can also worsen after the procedure.

In other words, a medical abortion can be complicated not only by copious bleeding from the vagina, but also by other conditions that cause a lot of harm to the female body. Therefore, after terminating a pregnancy (no matter what method), you should be attentive to all the “bells” of your body for several weeks and if you suspect the development of complications, immediately go to the doctor. When they are eliminated in a timely manner, there is a high chance of avoiding sad consequences and maintaining health for many years!

Today, medical abortion is the safest among all existing types of abortion. What explains this? The reason lies in the mechanism of abortion by taking pills. Their goal is to induce something like a standard menstruation, which will push an already fertilized egg out of the uterine area. However, you should still be prepared for the fact that such a simple and relatively safe method can provoke certain complications. In addition, it is imperative to take into account that termination of pregnancy, even medicinal, is a strong restructuring of the body. Consequently, all internal systems are disrupted, which causes some consequences.

Millions of women have already felt the effects of medical abortion. Usually the abortion is successful without any serious complications. After the procedure, some women experienced some problems, for example, incomplete removal of the fetus, infectious diseases, very heavy bleeding after medical termination of pregnancy. According to reviews of this type of abortion, of which there are a lot on the Internet, they then had to treat these consequences. Medical termination of pregnancy in isolated cases that are known today ended in the death of patients. This happened due to very severe bleeding in the abdominal cavity, due to heart failure, which was caused by mifepristone and so on.

For this reason, when asked whether medical abortion is dangerous, every conscientious doctor will answer that there is a risk. And a lot will depend on individual tolerance. There is no need to believe promises about the 100% safety and effectiveness of medication. Whether there will be consequences such as severe bleeding after a medical termination of pregnancy or not will depend, first of all, on the duration of pregnancy, as well as on the characteristics of the woman’s body.

The following list will demonstrate the impact that timing has on the absence of consequences after the procedure:

up to seven weeks, 98 percent of patients terminate their pregnancies successfully with medication. The remaining 2 percent are faced with the need to perform vacuum suction or curettage;
at 7-12 weeks of pregnancy, 5 percent of women resorted to surgical assistance to completely expel the fetus from the uterus;
but for a period of more than 12 weeks, only 92 percent of women were able to get by with pills alone. 8 percent had a surgical termination.

Considering the above figures, it becomes obvious that among one hundred patients who decide to undergo medical termination of pregnancy, complications arise in several women, who will subsequently need medical intervention. This depends on many factors, so today it is too early to talk about the complete danger of the drug method.

After termination of pregnancy, pregnancy hormones are still present in the female body for some time. Together with the feeling of guilt from what has been done, hormones often cause depression. Depression usually manifests itself as irritability, fatigue, guilt, appetite disturbance and can cause insomnia. This is quite normal, but if depression lasts more than two weeks after an abortion, you should consult a specialist. Sexual life during the first week after medical termination of pregnancy is taboo. This period may be a little longer as prescribed by the doctor. Such a restriction is necessary to prevent possible blood loss after medical termination of pregnancy inside the female genital organs. In the future, it will be necessary to protect yourself not only because of the likelihood of pregnancy, but also to avoid the entry of all kinds of bacteria that pose a danger to the mucous membranes of a woman’s internal organs.

The fairly high effectiveness of drugs that terminate pregnancy does not relieve them of certain complications, which include:

The pregnancy did not stop. At the same time, the health of the woman and the fetus suffered, one way or another.
Bleeding after medical termination of pregnancy.
Inflammation of the patient's genital organs.
Contractions.
Failure of the menstrual cycle.
Fever.
Ovarian dysfunction.

To avoid complications after medical termination of pregnancy, it is necessary to perform an abortion only as prescribed by a highly qualified specialist. Under no circumstances should a medical abortion be performed at home, as this approach only increases the likelihood of serious complications.

Pain after medical abortion

Abdominal pain, which is similar to contractions, is felt by patients after taking prostaglandin. This drug speeds up medical abortion. The pain is caused by muscle contraction that pushes the fetus out of the vagina. In most cases, pain is tolerable. If the pain is unbearable, the doctor may prescribe a number of medications that have an analgesic effect. The pain is similar to that of normal menstruation. The pain ends within 24 hours after taking the drug. If pain continues, you should consult a doctor. Reconstruction, vacuum abortion, or curettage will likely be required.

Bleeding after medical abortion

There is no need to rush to attribute prolonged bleeding to complications after a medical abortion. Because it is through bleeding that the fetus is expelled. At the same time, the amount of blood clots and blood released from the patient varies individually. So you should not classify heavy or rather scanty bleeding as complications. However, when excessive bleeding occurs, it makes sense to consult a doctor. After all, blood loss can have quite serious consequences that can only be solved by blood transfusion. Very scanty blood loss may indicate that the cervix has closed, and therefore the fetus cannot get out normally. Ideally, heavy bleeding continues for 2 days, followed by scanty bleeding. In any case, it is better to consult your doctor.

Restoration of menstruation

Your period after the procedure will begin, at best, one menstrual cycle after taking the pills. You need to understand that medical abortion is considered the first day of your period. Therefore, a new monthly cycle must be counted from the moment it begins. Menstruation after medical termination of pregnancy is restored differently for each woman. This mechanism cannot be predicted or influenced in any way. Menstruation after taking the pills can be very heavy. This often means that parts of the fetus remain in the uterus. In such a situation, it is necessary to clean the uterus. Normal natural periods usually appear after one calendar month. If this does not happen, you should consult a doctor. The woman may be pregnant again. Pregnancy can occur within a couple of weeks, but for normal gestation and good health of the unborn child, the recovery period for a woman’s fertility after a medical termination of pregnancy should be at least six months.

A woman is required to recover after the procedure. You should avoid physical activity and will probably need to undergo a course of physiotherapy.

Taking drugs for miscarriage

Medical abortion takes place in two stages:

fetal development stops;
embryo detachment occurs.

The uterus, from which the fertilized egg has detached, is under stress. To speed up tissue restoration, it is advisable to drink contractile drugs, for example, tincture of water pepper. During embryo detachment, hospitalization and observation of the process and the patient’s well-being by the attending doctor are recommended.

Visually, the embryo at the stage of development up to 6 weeks resembles a blood clot or a pink lump. Gynecologists have doubts about how safe this type of abortion is, because it is caused by a remarkable volume of hormonal agents, which completely disrupts the woman’s hormonal levels. Restoring the correct balance of hormones is then extremely
difficult. Moreover, the number of endocrinologists in the field of gynecology is minimal.

How long does bleeding last during medical abortion?

It is common for blood to appear after taking abortifacient medications. Because pregnancy causes heavy blood flow, embryo rejection can cause heavy discharge. This is one of the complications of medical abortion. Ideally, bleeding should resemble menstruation in the first days of its appearance.

The bleeding continues for two or three days. The clots differ in the following properties:

acquire a dark burgundy or brown tint;
Every day there should be less and less discharge.

The duration of bloody discharge can be up to one month if a woman chooses abortion with medication late in pregnancy. As for restoring the monthly cycle, if the body is young, the hormonal levels should improve within the next six months.

What to watch out for

A woman should be wary of bleeding after a medical termination of an intensive pregnancy. On days 5-7, the blood should turn brown, which means that the discharge is coming to its logical conclusion.

Doctors call dangerous manifestations of the inflammatory process and incomplete disposal of the fertilized egg:

increase in the patient's body temperature;
dizziness, unusual weakness, loss of coordination;
loss of consciousness;
pain in the lower abdomen.

How to avoid complications

Large blood loss is always detrimental to a person; along with the blood, a woman loses strength, because along with this, kidney and heart failure occur. It is impossible to predict how a medical abortion will end. The body may react to the drug by not taking it in case of individual intolerance. To prevent this from happening, the doctor should choose the best remedy with a minimum list of side effects and contraindications, taking into account the patient’s weight and chronic diseases.

Consequences that are observed after medical abortion:

If the embryo is up to 6 weeks old, no consequences are observed in 97% of patients. The rest are sent for vacuum suction and curettage.
If the gestational sac is between 7 and 11 weeks old, medication abortion is not recommended. This is due to the high percentage of intense bleeding occurring within 4 days; after discharge, it lasts for another 4 days.
At a period of 12 weeks or more, it is better to terminate the pregnancy surgically, as there is too high a chance that the embryo will not come out completely.

How to stop bleeding

When the patient has taken a drug to terminate the pregnancy, drugs to stop bleeding cannot be taken. The embryo can only come out with blood. If the bleeding is stopped, a purulent process will begin in the uterus, and everything will end in mechanical abortion (curettage). If the bleeding is very heavy, you should not wait for the situation to improve, call an ambulance, lie on your back and put a cold pack on your stomach.

See a gynecologist for 2-4 weeks after the abortion. Another examination is initiated after 1-2 months, in order to avoid inflammation of the reproductive system. Sometimes it is necessary to take a course of antibiotics and hemostatic agents, but not earlier than a week after terminating the pregnancy with drugs.