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Abortion/No period 9 weeks after abortion

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Question
I had a surgical abortion on 14th Sep. I was approx 9 weeks pregnant. All seemed fine & I had almost no pain or bleeding. More than 9 weeks later I still have not had a period.  I did a pregnancy test 5 weeks after the abortion, which was negative and another one today just to double check - still negative. I had very few symptoms while pregnant - just a constant feeling of slight nausea.  This went after the abortion but about 2 weeks ago it came back and has been with me ever since.  What could be going on and should I go to see a Dr or just wait & see what happens?  If the latter, how long should I wait before seeing someone?  I am in the UK if that makes a difference.

Answer
Dear Em,
This sounds completely normal, as long as you have a negative pregnancy test. The only problems that could be going on (continuing pregnancy, retained tissue, or molar pregnancy), would result in a continued positive pregnancy test.  My only concern is that sometimes urine pregnancy tests are not that reliable.  I think it would be good for you to get a blood pregnancy test to be 100% sure.  If the blood test is negative, I don't have an explanation for your nausea; hopefully it will go away within the next weeks. The lack of bleeding after an abortion up to three months is otherwise normal. I hope this is helpful,
Doctor Joan

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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