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Abortion/positive pregnancy test after medical abortion

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Question
Hello Dr. Joan,

I had written to you 2 weeks about having undergone a medical abortion.

Today, I had gone to the doctor for re-visit, but was shocked to find out that HCG test showed "+-".  So the doctor has given me some more pills for three days and has asked me to return after three days.

Now I am beginning to get really worried.  What will happen if the HCG test report still comes as positive?  Should I undergo dilatation and curettage?  How much of the tissue is still remaining inside?  Can you please give me some information.

Thanks in advance for your kind and comforting advice.

Jem Victor

Answer
Dear Jem,
It is very common to have a positive pregnancy test or hCG two weeks after a medical abortion.  It can take up to a month, or even more, before the hormones disappear and the test is negative. I am not sure why he is checking the test.  Did he do an ultrasound?  What pills did he prescribe? Until I know more information, I would not recommend a D&C.  When you send back the information, also let me know where you live.  
Doctor Joan
EarlyAbortionOptions.com
New York City

Abortion

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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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