Questioner: Emily
Subject: Clotting after medical abortion, bleeding and the abortion pill
Date Asked: 2009-10-13 10:41:23
Date Answered: 2009-10-13 12:05:50 on allexperts.com

Question:
I had a medical abortion Sept 22nd. I have had consistent but irregular bleeding. I went to my follow up apt last week and the doctor said my uterus was empty. I started taking birth control (ortho trcyclin low) that day. Two days ago I started bleeding heavily and passing large clots(golf size or better) I even bled through a pad and had a large clot over night. I am concerned by the clots. I have three children and have never experienced passing clots this large. I do not have a fever or even any cramping. A little fatigue and minor mood swings which I figure is normal. Should I be concerned?

Answer:
Dear Emily,
Passing large clots(even larger than golf ball size) is typically completely normal after the abortion pill, or a medical abortion.  Intermittent irregular bleeding for a month after taking the abortion pill is also normal.  However, the heavy clotting should only last 24-48 hours.  If it lasts longer, you should call the doctor and have a second check up.

While frightening, clots are completely normal.  Clots are simply blood that has sat in the uterus or vagina and was exposed to air (so it clots) before it comes out.  You can help your uterus to pass these clots by taking a bath and massaging your lower belly.  Sex can also help your uterus to contract and expel them, though sex may be unappealing while you’re bleeding so much.  Also, low impact exercise at your home can help.

There is more information on bleeding after the abortion pill.
I hope this is helpful and reassuring.
Doctor Joan

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