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Surgical Abortion Care - Topic Overview

Signs of complications

Call your doctor immediately if you have any of these symptoms after an abortion:

  • Severe bleeding. Both medical and surgical abortions usually cause bleeding that is different from a normal menstrual period. Severe bleeding can mean:
    • Passing clots that are bigger than a golf ball, lasting 2 or more hours.
    • Soaking more than 2 large pads in an hour, for 2 hours in a row.
    • Bleeding heavily for 12 hours in a row.
  • Signs of infection in your whole body, such as headache, muscle aches, dizziness, or a general feeling of illness. Severe infection is possible without fever.
  • Severe pain in the belly that is not relieved by pain medicine, rest, or heat
  • Hot flushes or a fever of 100.4°F (38°C) or higher that lasts longer than 4 hours
  • Vomiting lasting more than 4 to 6 hours
  • Sudden belly swelling or rapid heart rate
  • Vaginal discharge that has increased in amount or smells bad
  • Pain, swelling, or redness in the genital area

Call your doctor for an appointment if you have had any of these symptoms after a recent abortion:

  • Bleeding (not spotting) for longer than 2 weeks
  • New, unexplained symptoms that may be caused by medicines used in your treatment
  • No menstrual period within 6 weeks after the procedure
  • Signs and symptoms of depression. Hormonal changes after a pregnancy can cause depression that requires treatment.

Follow-up exam after a surgical abortion

A follow-up exam may be done about 2 weeks after a surgical abortion. The exam may include:

  • A physical exam, to check the cervix and uterus camera.gif.
  • A lab test to check for a low human chorionic gonadotropin (hCG) level, which means that the pregnancy has ended.
  • A blood test, to check for anemia.
  • A discussion of birth control use. If birth control measures were started immediately after the abortion procedure, the proper use of the method can be discussed again. If you had an intrauterine device (IUD) inserted at the time of the abortion procedure, you can discuss with your doctor any questions you have.

WebMD Medical Reference from Healthwise

Last Updated: August 31, 2012
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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