Hello Doctor,
I had an abortion two weeks ago and went for my follow-up appointment yesterday. Today, I started bleeding again—it's heavy and dark in color. Is this normal, or should I go to the ER?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
Yes, you should go to the ER. Heavy, dark bleeding after an abortion could indicate an infection, retained tissue in the uterus, or, in rare cases, a residual molar pregnancy. A scan is necessary to confirm the cause. If retained tissue is found, it may need to be removed through a procedure called suction curettage, performed under anesthesia with antibiotic coverage to prevent infection. It's also important to discuss a suitable contraceptive method for the future. Please follow the instructions of your treating doctor and seek medical care immediately.
Thanks
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