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Abortion/menstruation after medical abortion
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QUESTION: I received the medical abortion pill last month, around May 22, 2008. After I took the pill I bled for about 7 days. It is now June 23 and I have not received a menstruation again. I only had sex once since then and used a condom. What could be the problem?
ANSWER: Dear Keisha,
It is completely normal to have irregular bleeding after the abortion pill. It is normal and common for the bleeding to stop and start, or to miss a period. The only concern would be if you were pregnant again, and this sounds unlikely if you used a condom reliably. Your periods will come back to normal, eventually.
I hope this is helpful,
Doctor Joan
---------- FOLLOW-UP ----------
QUESTION: Do you know why this happens?
Dear Keisha,
We don't know why women have irregular bleeding after the abortion pill. It probably has to do with the pregnancy hormones. The abortion pill blocks the receptors on the uterus from pregnancy hormones, and may then influence the regulation of the normal hormonal cycle. This is certainly the most annoying and difficult aspect of a medical abortion. This is why many women choose the aspiration procedure (a nonsurgical early abortion procedure) over RU 486. The good thing is that your regular periods will definitely come back to normal.
I hope this is helpful,
Doctor Joan
Earlyabortion.com
Earlyabortionoptions.com
New York City
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Answers by Expert:
Doctor Early Options
Expertise
We are a group of family doctors who provide abortion care for over a decade. We can answer any health or medical related questions about early abortion, including the aspiration procedure, the abortion pill (RU486), or surgical abortion. We run a practice called Early Options, located in New York City: http://www.EarlyAbortionOptions.com. The practice is dedicated to making early abortion part of mainstream medical care. There are other family doctors around the United States who practice a similar approach to early abortion care: see http://www.EarlyAbortion.com. Please do not ask "private" questions so that other women can learn from your experience. Please tell me what country you are from so that we can better help you.
Experience
Experience in the area: We are all board certified family doctors who have special training in early abortion and reproductive health. Dr. Joan Fleischman is the founder of Early Options (earlyabortionoptions.com) dedicated to making early abortion part of mainstream medical care.
Organizations:
National Abortion Federation
American Association of Family Physicians
Education/Credentials
Dr. Joan Fleischman, Founder
M.D., Harvard Medical School
M.P.A., John F. Kennedy School of Government
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