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What Causes Tiredness And Nausea After Taking Abortion Pills?

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Posted on Thu, 2 Apr 2015
Question: I aborted via pills 8days ago .. But I still feel tired , nauseous nd my taste bud is crap.. Do you think am still pregnant
doctor
Answered by Dr. Aarti Abraham (15 minutes later)
Brief Answer:
Need a TVS to confirm.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Let me explain the procedure of a medical abortion ( via pills ) to you first, so that you know where you stand.

While undergoing a medical abortion, one should constantly be under medical supervision.
Let me explain why this is important.
Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan.
So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic ultrasound scan.
This has two purposes.
It dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time.
Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous.

After confirming the pregnancy, tablets are taken by prescription.

Generally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally.

Bleeding with cramps starts in a few hours, and lasts heavily for a few days.

Spotting might continue for 15 days or more.

It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete.

Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc.

The symptoms that you are feeling right now are non specific.
Only a transvaginal ultrasound scan ( TVS ) can confirm if the abortion is complete and you are now not pregnant, nothing else.

If you had heavy bleeding with cramps after taking the pills, you have mostly had a successful abortion.

Even a urine pregnancy test can take upto 6 weeks to come out negative.

All the best
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (10 minutes later)
Yes I had a an heavy bleeding after using the pills and cramps but that stopped like three days after which was later followed by discharge.. And plZ when am I supposed to see my period .. Last month period was due for 14th but didn't come due to the pregnancy. So am wondering when am supposed to see this month's period
doctor
Answered by Dr. Aarti Abraham (1 minute later)
Brief Answer:
Within 4 - 6 weeks, you should have your period.

Detailed Answer:
Hi again.
Well, after the medical abortion, you would have your period anytime between 4 - 6 weeks later.
Please use a contraceptive / condoms if you are sexually active before that.
Also, a TVS is a must to ensure that the uterus is now empty and the pills worked.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Causes Tiredness And Nausea After Taking Abortion Pills?

Brief Answer: Need a TVS to confirm. Detailed Answer: Hello Thanks for writing to us with your health concern. Let me explain the procedure of a medical abortion ( via pills ) to you first, so that you know where you stand. While undergoing a medical abortion, one should constantly be under medical supervision. Let me explain why this is important. Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan. So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic ultrasound scan. This has two purposes. It dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time. Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous. After confirming the pregnancy, tablets are taken by prescription. Generally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally. Bleeding with cramps starts in a few hours, and lasts heavily for a few days. Spotting might continue for 15 days or more. It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete. Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc. The symptoms that you are feeling right now are non specific. Only a transvaginal ultrasound scan ( TVS ) can confirm if the abortion is complete and you are now not pregnant, nothing else. If you had heavy bleeding with cramps after taking the pills, you have mostly had a successful abortion. Even a urine pregnancy test can take upto 6 weeks to come out negative. All the best Please feel free to discuss further.