Expert: Doctor Early Options - 1/16/2010

Question
I had a abortion in december, i bled heavy for 2 weeks and then had alot of spotting throughout the rest of the month at least 6 different times, then all bleeding stopped, now im still waiting on a period mid january. I was just wondering what could be going on? when should I start my period?

Answer
Dear Tess,
The bleeding you are describing after an abortion at this point sounds normal.  It is common and normal to bleed for the first weeks after an abortion - it can be light spotting, like a period, or heavier than a period. It is also common and normal to have spotting for the next month or so.  It can be difficult to know when your next period will arrive.  I usually tell my patients 3-6 weeks is the typical time period, but I have seen it take longer without any concern.  Just be careful to protect yourself, so that you don't get pregnant again.  YOU CAN GET PREGNANT WHILE YOU ARE BLEEDING.  

However, if this bleeding continues into next month and does not get better, I would call the doctor's office where you got the procedure and get a follow up visit.  Also, if you start to have cramping or significant pain, or you should be evaluated.  These symptoms, with extended bleeding, can be signs of "retained products" and should be evaluated by your doctor.

There is more information on bleeding after abortion, and retained products on my website: http://www.earlyabortionoptions.com

I hope this is helpful,
Doctor Joan
New York City