Bleeding after abortion: normal or cause for panic

Abortion is an intervention that brings significant changes to a woman’s body. In particular, her intimate health is subject to serious stress. And for the female reproductive system to fully recover, it will take some time. Accordingly, a regular menstrual rhythm after termination of pregnancy will not resume immediately. However, not every woman understands this, and the absence of menstruation can cause really serious worries.

In this article, we will look at when periods should appear after an abortion and how the type of abortion itself affects this.

Bloody discharge after cleaning the uterus

If a woman has undergone a surgical abortion, almost in the very first days of the rehabilitation period she may experience bleeding. In their type, they will in many ways resemble menstruation, but in fact they are not menstruation. Thus, when terminating a pregnancy using instrumental methods, in absolutely all cases, damage to the uterine mucosa occurs, which leads to bleeding of the tissue.

Bloody discharge is a standard and predictable reaction of the body to such surgical interventions. The discharge usually lasts for about seven to ten days. Their amount can vary from slight dark brown spotting to intense discharge with clots. If they are released too actively, and four large pads are filled in 2 hours, urgently contact a doctor, who, after examination, will prescribe the optimal treatment.

To ensure that the discharge complies with established standards, it is recommended to protect yourself from too much physical activity. Doctors also advise not to start having sex too early after an abortion.

Cause of abnormal bleeding after abortion

The appearance of bleeding after an abortion should not embarrass the patient, but its duration should be a cause for concern. Among the pathological causes of this symptom are:

  • Perforation of the uterus;
  • Cervical injury;
  • Presence of residual fetal tissue;
  • Blood clotting disorder;
  • The reaction of the female body to certain anesthetics.

With such diagnoses, along with hemorrhage, there is an obvious violation of the temperature regime, convulsions, general weakness, fainting, hypotension, and increased heart rate. It is important not to ignore such signs of shock, but to promptly visit a medical center and a qualified specialist.

When should periods return?

Termination of pregnancy brings a kind of delay in the menstrual cycle. This is absolutely normal and there is absolutely no need to worry for this reason. There are several main reasons that directly affect the resumption of the menstrual cycle:

  • the type of abortion that was performed,
  • timing of the terminated pregnancy,
  • age characteristics of the patient’s body,
  • general condition of the body,
  • medications that the doctor prescribed to the patient and their effects on hormonal levels,
  • the level of professionalism of the doctors who performed the surgical procedure.

On average, menstruation after an abortion comes after 28-45 days. At the same time, gynecologists note that the first menstruation may be accompanied by fairly scanty discharge, which is also absolutely normal. This happens for the reason that in the first time after termination of pregnancy, the uterine appendages work quite poorly, and the endometrium in the uterus was not able to fully grow, having not recovered well after surgery.

Signs of heavy menstruation

It is possible to independently recognize the presence of heavy periods if the following basic signs are observed:

  • the duration of menstrual cycles is less than 21 days;
  • using more than three pads per day (indicates blood loss of more than 80 milliliters);
  • The menstrual cycle and blood loss continue for more than a week.

Please note that heavy bleeding can be caused by a disease such as anemia or anemia.

Anemia or “tired blood disease” is characterized by a significant decrease in the amount of hemoglobin or red blood cells in a person’s blood. This leads to disruption of the body's functioning.

Dependence of the timing of the appearance of menstruation on the type of abortion that was performed

With different types of abortion, menstruation appears in its own way sooner or later:

  • Medical abortion. This is the main method of terminating a pregnancy of no more than six weeks. It is considered quite gentle. The gynecologist who performed this type of abortion will be able to predict exactly when menstruation will appear in each specific case. So, delays in this case will be extremely rare, and if they happen, this is a non-standard reaction of the body to the drug used.
  • Vacuum abortion. Suitable for termination of pregnancy up to nine weeks. It takes longer for the body to recover after such an abortion. If the operation was performed in compliance with all norms, menstruation resumes within a month. If a woman has not given birth before, the maximum recovery period may be limited to 6 months. For women who have given birth, this period is reduced to four months.
  • Surgical abortion. It is performed in later stages of pregnancy. So, the longer the term of the terminated pregnancy, the more abundant and longer the discharge will become during the rehabilitation period. Accordingly, the ovaries will also need quite a lot of time to fully recover. Normalization of the menstrual cycle occurs mainly within two months.

If you had to terminate your pregnancy for any reason, you need to know what is possible and what should be avoided. Without following the recommendations of the gynecologist, the consequences can have a bad effect on the condition of the body. You can consult a medical clinic for rehabilitation after abortion, which is located in the Basmanny district, Moscow.

Regardless of what method of abortion was used, recovery after the procedure is necessary for every woman. It negatively affects health and requires effort and time to support the body during recovery.

Rehabilitation services after abortion in the Basmanny area contain a combination of procedures. Actions are aimed at preventing problems and consequences. Reducing the development of risk after abortion is achieved through medical and preventive effects on the female reproductive system. This method promotes rehabilitation and recovery after termination of pregnancy, and improves the hormonal function of the genital organs.

What complications can there be after termination of pregnancy?

There are several types of complications.

  1. Early complications:
  • inflammatory diseases of the female genital organs, such as endometritis, inflammation of the appendages. They may appear due to inflammation of the cervix or its walls. They may be injured during the procedure;
  • heavy bloody discharge that does not go away for more than seven days. If they do not stop, you should consult a doctor;
  • The most severe complication of termination of pregnancy is rupture of the uterine wall with a surgical instrument. This can happen in a non-professional clinic. If there is a small tear, it is stitched up. If the rupture is serious and bleeding occurs, the uterus is removed. There are cases that as a result of perforation, the intestines, blood vessels, and bladder may be damaged;
  • During the operation, partial removal of the fetus is possible. To prevent this from happening, an ultrasound examination must be performed at the end of the procedure. If fetal remains are found, the operation is repeated.
  1. Late complications:
  • injury from a mechanical expander. This leads to weakness of the muscular system of the cervix;
  • curettage of the uterine mucosa into the blind. This leads to microtraumas of the uterine wall;
  • an interrupted pregnancy increases the risk of developing tumors in the cervix and mammary glands.

Information on rehabilitation after termination of pregnancy in Moscow can be found by calling the specified phone number.

What is not recommended to do in the first month after termination of pregnancy

General recommendations:

  • abstain from sexual activity until the end of postoperative bleeding;
  • limit physical and psychological stress;
  • be sure to eat right;
  • take prescribed medications.

How to restore the body after an abortion

No matter how gentle the method of abortion is, it is a serious physical and psychological trauma. Hormonal stress occurs, which carries with it the risk of complications.

Rehabilitation after abortion is a necessary condition. There are three main types of abortion. Each has its own rehabilitation and specific effects on the body.

Get detailed information and advice on rehabilitation after abortion, on the street. Our clinic is located in Baumanskaya.

Rehabilitation after medical termination of pregnancy

A woman after a medication interruption is subjected to strong emotional pressure. This method of abortion weakens the body and entails severe moral trauma. Additional stress should be avoided as much as possible. Then the body will begin to recover.

After an abortion, it takes several weeks for the uterus to return to normal. During this period, you should protect yourself from hypothermia and check your temperature daily. If the temperature rises due to severe pain and bleeding, you should immediately consult a doctor.

Rehabilitation is easier when taking combined oral contraception. It will help normalize hormonal levels. You can sign up for a consultation on rehabilitation after termination of pregnancy, near the Baumanskaya metro station, online.

Rehabilitation after surgical termination of pregnancy

This method is more traumatic. Surgical termination of pregnancy is performed in case of refusal to carry a fetus for more than 7 weeks. Abortion can have dire consequences. It is especially dangerous for young girls, first-time pregnant women. There is a high risk that you will no longer be able to get pregnant.

The surgical method is an operation to remove the fertilized egg for artificial termination of pregnancy. The mucous surface of the uterus is scraped. For effective rehabilitation after an abortion, it is necessary to strictly follow the doctor’s instructions:

  • cancel physical activity;
  • the first intimate relationship is not earlier than after the menstrual cycle;
  • strictly observe the rules of hygiene;
  • do not take a bath, cancel visits to the pool and saunas;
  • it is necessary to take medication prescribed by a doctor, such as antibiotics, vitamins and contraception;
  • visit an endocrinologist, mammologist, and, if necessary, a psychologist.

Rehabilitation after spontaneous abortion

The basis of rehabilitation is recovery after an abortion. In the event of a spontaneous abortion, the psychological state is at risk, as an unplanned action has occurred. In this case, it is necessary to undergo psychological recovery. When a woman loses a planned child, a mental breakdown may occur. To prevent this from happening, you need to provide the necessary care for psychological and physical support.

Recommendations for rehabilitation after termination of pregnancy in Moscow on Basmanny, prescribed by the attending doctor. If you do not have recommendations for rehabilitation after abortion in Moscow, please contact our clinic. The clinic's website contains the necessary information for contact. There is a list of services and the address of the clinic.

Can there be abnormalities in menstruation after an abortion?

The first menstruation after an abortion may have some deviations. In particular, the first discharge often has a rather unpleasant odor. In some cases, their consistency also changes: if a woman has always had liquid discharge, it may become thicker and vice versa. During the first post-abortion menstruation, some atypical pain in the lower abdomen may appear.

An unusual onset of menstruation should be a reason to seek advice from your treating gynecologist, because if the problem turns out to be serious, it can often lead to further infertility and various intimate problems

What does bleeding after interruption represent?

Blood loss after an abortion is normal. On the day of curettage or vacuum aspiration, damage to the vessels of the uterine wall occurs. Any pregnancy is always accompanied by increased blood supply to the genital organs, so abortion is accompanied by heavy bleeding. If the period after the intervention proceeds favorably, then in the next few hours the heavy discharge will end.

The next stage of blood loss after an abortion is considered to be a normal menstrual-like reaction. This bleeding begins on days 2-4 and is similar to a normal period. The blood has a brownish tint and its volume per day is small. Sometimes such bleeding after an abortion has clots. This is considered normal, since the remnants of the fertilized egg come out of the uterus. A menstrual-like reaction should not exceed 10 days. A new cycle begins from its first day. The next period should come in 21-40 days.

The period after a medical abortion has some differences. In this case, there is no mechanical damage to the vessels. Blood loss after this type of abortion is similar to a normal period. However, the later the interruption with pills is made, the higher the risk of serious bleeding.

Why are periods late?

Even after a properly performed abortion, the menstrual cycle may be delayed and begin at a relatively late time. In particular, this may be caused by the slow rate of healing of the lining of the uterus. In order for its recovery to occur as quickly as possible, it is recommended to strictly follow all the instructions of your treating gynecologist.

If you have problems restoring your menstrual cycle after an abortion, this is a reason to seek qualified help from a doctor. Remember that the body is under stress and only an experienced and highly qualified doctor can rehabilitate it.

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What you need to know about discharge after an abortion

Normally, discharge after medical termination of pregnancy continues for up to 10 days, while it is not abundant and, very importantly, its volume decreases over time. In this case, special attention should be paid to the color of the discharge. Since the blood is a little old and already clotted, the discharge should have a dark brown coloration. There should be no unpleasant odor or painful sensations. Nagging pain in the lower abdomen with such discharge may indicate the presence of a polyp or endometritis.

With pathology, different options are likely. Often, due to violations of a woman’s local immunity, the presence of an open wound and poor balance of microflora, a bacterial infection can occur. The activity of bacteria is usually accompanied by an inflammatory process and the death of leukocytes - cells of the immune system. Because of this, the discharge becomes yellowish in color with an unpleasant putrefactive odor. This can be dangerous, as it is fraught not only with further infertility, but also with sepsis - blood poisoning. The female uterus has many blood vessels, which are always damaged during any abortion, even medical abortion. Because of this, infection easily enters them and quickly spreads throughout the body. If the unpleasant-smelling yellowish discharge is accompanied by general weakness and fever, the matter cannot be delayed. In such a situation, treatment requires identifying the causative agent of the infection and further prescribing antibiotics.

Due to the rich blood supply to the uterus, quite heavy bleeding is also possible. This often happens when the abortion was incomplete, that is, pieces of the fetus remained in the uterine cavity. These pieces prevent the blood vessels from contracting, causing bleeding to continue. In such a situation, more than two pads with the greatest absorbency are consumed per hour. Discharge of scarlet or dark red color, very abundant, is accompanied by increasing weakness, dizziness, and sometimes cramping pain appears in the lower abdomen. Such a situation is extremely dangerous, in fact, this is true uterine bleeding, so the blood loss is colossal, and death is quite likely in case of untimely treatment to the hospital. Such a woman needs emergency assistance, which can only be provided by qualified specialists. To avoid such a situation after an abortion, not only are all parts of the embryo examined in detail, a control ultrasound is also performed to make sure that there are no clots left in the uterus.

After medical termination of pregnancy, bleeding lasts a little longer, and it is more abundant than discharge after an abortion. There is nothing surprising here, since after a pharmacological termination of pregnancy the embryo and the mucous membrane of the uterus are released, and during a surgical abortion all this is removed by the doctor. Be that as it may, spotting after medical termination of pregnancy should not last more than 14 days; it may look like clots. If such clots continue to appear after two weeks, it is necessary to visit a doctor, since this indicates that the embryo is expelled from the uterus too slowly, which can lead to inflammation or bleeding.

So, what important aspects should a woman remember regarding discharge after medical termination of pregnancy?

  1. After any abortion procedure there should be some discharge. If they are absent, this is an unfavorable sign, which indicates that blood is retained in the uterus, which can cause the development of numerous complications. So you should immediately go to the hospital if there is no discharge after a pharmaceutical abortion.
  2. After medical termination of pregnancy, brown clots are acceptable.
  3. It is very important that over time the volume of discharge decreases and gradually disappears. This indicates the release of residual blood, complete cleansing of the uterus and normal closure of damaged vessels.
  4. You must always remember that fungi and bacteria do not sleep. So if you notice an unpleasant-smelling yellowish discharge, you should immediately go to the hospital and not self-medicate. The same must be done if the temperature rises.
  5. After a medical abortion, the volume of discharge and its duration will largely depend on the stage of pregnancy. Usually, the larger it is, the more abundant and prolonged the discharge from the uterus will be. But do not forget that their volume should be smaller over time.

Prevention of anemia after abortion

To ensure the prevention of a woman’s reproductive health, it is recommended to follow some rules:

  • adhere to a nutritious diet;
  • try to avoid stress and nervous tension;
  • regularly undergo examination of the whole body and female genital organs in particular;
  • systematically get tested for iron deficiency anemia;
  • rationally use your strengths and body capabilities without overexertion;
  • If you have diseases, start treating them in a timely manner and follow preventive measures.

Price list

Abortions: vacuum abortion and medical abortion
Vacuum abortion
(up to 10 weeks of pregnancy) (ultrasound, gynecologist consultation, tests, anesthesia, abortion, control ultrasound after abortion within a week)
8 000
Vacuum abortion
(11-12 weeks of pregnancy)
By agreement
Medical abortion
(up to 6 weeks of pregnancy)
8 500
Incomplete miscarriage, remnants of fertilized egg7000
Prevention of abortion complications (intravenous drip administration of drugs)1000
Separate therapeutic and diagnostic curettage of the mucous membrane of the uterus and cervical canal (RDV)10000
Application of medicinal substances, insertion of tampons1000
Endometrial aspiration biopsy4500
Biopsy of soft tissues (vagina, cervix, mucous membrane and perineal skin)3800
Endometrial biopsy with Pipel probe2500
Insertion of an intrauterine device (IUD) without taking into account the cost of the IUD2000
Insertion of an intrauterine device (IUD), taking into account the cost of the IUD3000
Removal of the IUD is uncomplicated1000
Complicated instrumental removal of the IUD with endometrial curettage6000
Introduction/removal of a vaginal ring (pessary) with treatment of the vagina500
Opening a Bartholin gland abscess with coagulation of the wound edges4000
Opening a Bartholin gland abscess with masupilization7000-15000
Urethral instillation500
Video colposcopy extended1500
Radio wave surgery of formations of the external genitalia (“Surhydron”)3000
Conservative therapy for cervical pathology (“Solkvagin”) 1 procedure1000
Conization of the cervix7500
Removing foreign bodies from the vagina1000
Removal of vaginal and cervical polyps8000

Signs and causes of anemia

The main causes of anemia are:

  • chronic diseases associated with bleeding;
  • gastrointestinal tract disorders;
  • low iron content in the body;
  • heavy and intense physical exercise;
  • pregnancy and breastfeeding;
  • parasitic diseases;
  • excessive use of aspirin.

In order to recognize the disease in time, you need to be familiar with its characteristic symptoms.

Some of the most common signs of anemia include:

  • disturbance of vital tone in general;
  • increased fatigue and weakness;
  • frequent dizziness and fainting;
  • rapid pulse and high blood pressure;
  • frequent increases in temperature;
  • tingling throughout the body;
  • pale or yellowish skin;
  • brittle nails;
  • excessive hair loss;
  • violation of taste.
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