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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tissue Like Discharge And Prolonged Vaginal Bleeding Post Abortion?

vomited immediately after 2 tablets of misoprostol which i took after 12 hours after mifeprestone, abortion happened 3 days after, 4rth week pregnancy, a heavy load of tissue cae out at one go, bleeded for about 4 hours next day ebryo came out, then was spotting for few weeks. now after 26 days i seem to have periods, bleeding is partly loose and part tissue like, unlike before conceiving where bleeding was just in slight clots, i conceived for the first time in my life, 36 years. usually the intensity reduces a bit on the third but it hasn't. i have mensus for six days. so i am observing. no signs of infection as per my knowledge. just a slight white discharge before the periods which i always have. No smell or not such heavy bleeding either.. i hope everything is normal. just needed your advice.
Wed, 11 Jan 2017
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OBGYN 's  Response
Hi,

I guess your concern is about prolonged bleeding and dischagre after abortion. The treatment information given by u seems correct. It is usually a standard procedure to give the drugs:

- Mifepristone and Misoprostol, for abortion after conformation of pregnancy.

After medicines start their effect of abortion, it is usual protocol to cross check or verify whether all the product of pregnancy have been completely removed from womb of the pregnant lady. This cross checking is done by treating gynecologist. The doctor usually directly inspecting the womb to cross check by himself/herself along with a scan (ultrasonography) of abdomen and pelvis. Sometimes, the product of pregnancy may come out from the womb bit by bit slowly, slowly.

As told by you, you are having regular menses n no signs of infection (self assessment done by you), we can assume that procedure of abortion with above medicines is successful/ effect.

However, as I told you, in some instances even after successful procedure, a small bit by bit may be remaining in the womb. This remaining bit by bit things usually comes out from the womb in subsequent menses.

My advice:

1. Have patience and nothing to very, wait for few more days till you get menses with blood only (no tissue like discharge as told by you).

2. If there is no improvement after few days, I suggest you to visit a nearby gynecologist to do cross checking as told above.

I hope this information is helpful, informative and useful. Let me know if I can assist you further.

Regards,
Dr. Sudha Rani Panagar
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What Causes Tissue Like Discharge And Prolonged Vaginal Bleeding Post Abortion?

Hi, I guess your concern is about prolonged bleeding and dischagre after abortion. The treatment information given by u seems correct. It is usually a standard procedure to give the drugs: - Mifepristone and Misoprostol, for abortion after conformation of pregnancy. After medicines start their effect of abortion, it is usual protocol to cross check or verify whether all the product of pregnancy have been completely removed from womb of the pregnant lady. This cross checking is done by treating gynecologist. The doctor usually directly inspecting the womb to cross check by himself/herself along with a scan (ultrasonography) of abdomen and pelvis. Sometimes, the product of pregnancy may come out from the womb bit by bit slowly, slowly. As told by you, you are having regular menses n no signs of infection (self assessment done by you), we can assume that procedure of abortion with above medicines is successful/ effect. However, as I told you, in some instances even after successful procedure, a small bit by bit may be remaining in the womb. This remaining bit by bit things usually comes out from the womb in subsequent menses. My advice: 1. Have patience and nothing to very, wait for few more days till you get menses with blood only (no tissue like discharge as told by you). 2. If there is no improvement after few days, I suggest you to visit a nearby gynecologist to do cross checking as told above. I hope this information is helpful, informative and useful. Let me know if I can assist you further. Regards, Dr. Sudha Rani Panagar