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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Heavy Bleeding And Pain During Urination Normal After Abortion?

i had an abortion 8weeks ago, experienced bleeding for 2-3weeks afterwards which i was told was very normal... i have now come on my period and the cycle seems to be very heavy, loosing clots of blood and experiencing pain on passing urine is this normal?
Thu, 13 Aug 2020
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OBGYN 's  Response
Hi,

The possible causes of your problem according to the history are:
- After undergoing abortion, it will take some time for regularization of the menstrual cycles. As you got periods after 5 to 6 weeks of stoppage of the bleeding there is a possibility for more thickening of the endometrium, which can lead to heavy flow comparatively.
- Rarely retained products of conception inside the uterus can lead to heavy menstrual flow.
- Pelvic infection in case of surgical abortion. Which can lead to urinary tract symptoms also.

If the pain and bleeding persist, better to consult your gynecologist once get examined and undergo an ultrasound, with this work up the possible cause of your problem can be identified and treatment can be taken accordingly. If there are no retained products or pelvic infection, anti-fibrinolytic drugs can help in decreasing the menstrual flow and antispasmodics in controlling the pain and possibly in next menstrual cycles your flow may get normal.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sree Gouri S. R., OBGYN
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Is Heavy Bleeding And Pain During Urination Normal After Abortion?

Hi, The possible causes of your problem according to the history are: - After undergoing abortion, it will take some time for regularization of the menstrual cycles. As you got periods after 5 to 6 weeks of stoppage of the bleeding there is a possibility for more thickening of the endometrium, which can lead to heavy flow comparatively. - Rarely retained products of conception inside the uterus can lead to heavy menstrual flow. - Pelvic infection in case of surgical abortion. Which can lead to urinary tract symptoms also. If the pain and bleeding persist, better to consult your gynecologist once get examined and undergo an ultrasound, with this work up the possible cause of your problem can be identified and treatment can be taken accordingly. If there are no retained products or pelvic infection, anti-fibrinolytic drugs can help in decreasing the menstrual flow and antispasmodics in controlling the pain and possibly in next menstrual cycles your flow may get normal. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN