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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What are symptoms of failed abortion and miscarriage?

Good Afternoon. On Dec 3rd 2013 I had an abortion. This was very hard for me emotionally, and I have been very depressed, but that is not my issue. My husband and I have not had sex since before the procedure. I have had continious spotting since the procedure and have had only one mentral cycle since. Last week I realized I should be starting another cycle at any time. This may sound foolish but since the procedure I have felt that I am still pregnante. I know it sounds stupid, but I really felt that my body thinks im pregnante and its taken all my will power to not waste money on a pregnancy test just because of a "feeling". so i have tried ignoring this feeling. I chopped it up to depression over the situation. on Monday 2/3/14 I knelt down to pickup something and as I stood I felt fluid pour down my leggs and I thought I was urinating myself but with no sensation urination. I looked down and blood was all around me. I made my way to the toilet and when I sat down blood poured faster as if I were urinating but was clearly from my vagina. when it stopped flowing I sat there for a minute in worry, I had a slightlest hint of cramps at that moment and a urge to push came over me, so I pushed and I felt several large clotts come out. I have passed large clots before, but I have never felt anything like this, or passed clots this large (each clot was about the size of a teaplate, some larger). within a couple hours the bleeding stopped and I passed no other clots. Moving forward to Wednesday, I was in my car and again, I felt the warm wetness as though I had urinated, but again, it was blood. I made it to the bathroom in Mc Donalds an the entire process started again, but with a lot more blood. I had the urge again to push and passed many more very large clots again, in about an hour it stopped. Thursday night I started having bad cramps, and as I stood in my kitchen the bleeding happened again, and I was not even sitting down and the urge to push was so overwhelming, When I got on the toilet and pushed, I passed a lot of very large clots. It was almost like having a loose bowel moment the way it all came out. I became very scared at this point but unsure if this was me over reacting. I was scared to pass anymore clots, I found myself clenching my body to keep from passing any more clots and went to lay down hoping it would prevent it, I was scared what would happen if I gave in to ths urge to push, the pressure was so intense that I cold just feel whatever was waiting to come out was going to be large and I did not want it to happen. feeling these clots leave my body was so intense and frightening. Since then I have tried to stay off my feet. I have had steady bleeding and only passing small clots (about the size of a silver dollar coin), but today I have really bad cramps and have had some heavier bleeding then the past two days. Could this be a failed abortion and miscarriage? what other medical issues would cause this type of bleeding, can I loose too much blood? any insight please. My GYN recently retired and had a new young doc take over the practice, I have yet to establish with the new doc, and ddnt want to go to the ER unless I absolutly have to. so i cant really call the emergecy number for the practice because this doc does not know me. Any thoughts.
Fri, 14 Feb 2014
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OBGYN 's  Response
Hello
Thanks for trusting us with your health concern.
I dont understand why you have been waiting this long.
Your history CLEARLY indicates that you have lost way too much more blood than you should have.
You please take yourself to the ER right now, no excuses.
This is indeed a failed abortion.
There would be lots of retained products inside, hence the massive bleeding.
Another rare possibility after an abortion is that you might have developed choriocarcinoma, which is a malignancy of the placental tissues.
This is very rare, but it leads to torrential bleeding
This is a rare possibility, the first one is that the abortion was not complete.
If the uterus remains flaccid after the abortion, and fails to contract, even then, such a picture might result.
The way you have described it, you can collapse or faint anytime due to hypovolemia and blood loss.
You need to go the ER, and have a pelvic ultrasound scan immediately.
All the best.
Take care.
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