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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Excess Vaginal Bleeding After Abortion?

I had a surgical abortion about 9 weeks ago due to a medical condition preventing me from proceeding with the pregnancy.Last week I had bleeding but only for one day then 3 days ago I thought I finally got my period but again just one day. Tonight however I started bleeding and when I removed the first tampon I had several clots come gushing out one was fist size the others smaller (like thumb sizes). 3 hrs later the bleeding is still rapid and I m having to use tampon and pad together and change tampon every 45 mins and pad hour and a halfly! Since then I have had several more clots come out with every tampon change. What the heck is going on? I dont know if this helps but I also have Graves Disease.
Thu, 19 May 2016
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Infertility Specialist 's  Response
Hello, thanks for posting your concern. It could be one of these reasons why you are bleeding so much.
1. There could be some bits of conception retained inside the uterus to expel which the uterus must be bleeding profusely. But it may be unlikely as its already nine weeks since you be had surgical termination and by now even if anything was retained, we expect it to resolve on its own unless its a very large chunk. However, the possibility cannot be ruled out. I assume you haven't had fowl smelling vaginal discharge in between which indicates infection of the uterine lining and needs antibiotic cover.
2. Your thyroid hormones could be overworking. Do check your thyroid profile to see if it is well under control.
3. Excessive stress can lead to increased bleeding for couple of months following a miscarriage or pregnancy. I suggest you to practice relaxing techniques like yoga, walk or meditation to help you with that.
4. Extremely rarely there could be an abnormal connection between an artery and a vein in the area of uterus which can give rise to this kind of bleeding.
You can use tab. Tranexamic acid 500mg three times a day to see if your bleeding can be controlled. Also if bleeding continues in the same way you need to go to emergency room to get a transvaginal ultrasound examination to check what's happening inside uterus along with Doppler studies. I suggest you this as it is difficult to assess the amount of bleeding you are having and it should not be too late to seek help. Hope this helps. Take care.
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What Causes Excess Vaginal Bleeding After Abortion?

Hello, thanks for posting your concern. It could be one of these reasons why you are bleeding so much. 1. There could be some bits of conception retained inside the uterus to expel which the uterus must be bleeding profusely. But it may be unlikely as its already nine weeks since you be had surgical termination and by now even if anything was retained, we expect it to resolve on its own unless its a very large chunk. However, the possibility cannot be ruled out. I assume you haven t had fowl smelling vaginal discharge in between which indicates infection of the uterine lining and needs antibiotic cover. 2. Your thyroid hormones could be overworking. Do check your thyroid profile to see if it is well under control. 3. Excessive stress can lead to increased bleeding for couple of months following a miscarriage or pregnancy. I suggest you to practice relaxing techniques like yoga, walk or meditation to help you with that. 4. Extremely rarely there could be an abnormal connection between an artery and a vein in the area of uterus which can give rise to this kind of bleeding. You can use tab. Tranexamic acid 500mg three times a day to see if your bleeding can be controlled. Also if bleeding continues in the same way you need to go to emergency room to get a transvaginal ultrasound examination to check what s happening inside uterus along with Doppler studies. I suggest you this as it is difficult to assess the amount of bleeding you are having and it should not be too late to seek help. Hope this helps. Take care.