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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why My Girlfriend Is Having Abdominal Pain After Abortion?

hi i am mr.rao i want ask a question
my girl frand was pragnent from last 15 days so i give her mt pill and now abortion is complete after 14 days when i test from test card it show negative but pain is more in abdominal and below part but today night it is more then other night
Mon, 31 Aug 2015
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OBGYN 's  Response
Hallow Mr. Rao,

I have gone through your girlfriend's history.

Prima facae, the case seems to be that of post-abortal infection may be due to incomplete abortion. Does she have any fever or foul smelling discharge? If so, they are indicating infection. The pain in abdomen is very much indicative of incomplete abortion with or without infection.

In fact, termination of pregnancy is to be performed by Tab. Mifepristone and Misoprostol one after the other. These tablets are not 'over the counter medicines'; they need Registered Medical Practitioners prescription and observation. Though up to 9 weeks of pregnancy, usually the abortion is complete, I prefer a check up after about a week or so. For pregnancy older that 9 weeks, follow up is required.

According to you, the abortion is complete. How did you decide that? Have you got ultrasonography examination done? Pregnancy test becoming negative does not mean the abortion is complete; it only means that the products of conception are no more viable. Some part of non-viable tissue remaining inside the uterine cavity also will give pregnancy test negative; however, it is incomplete abortion. For completion of abortion, the clinical test is that the bleeding stops and the reliable investigation is ultrasonography.

From the history you have provided, I feel, it is incomplete abortion which may be infected or complete abortion with infection. The best option for you is to confirm the diagnosis about completion of abortion by ultrasonography. Then report to your Obstetrician. You will be put on antibiotics and if the ultrasonography reveals that some part of product of conception is still remaining inside the uterine cavity, it will have to be evacuated surgically.

I hope I have provided you very clear explanation and important advice.
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Why My Girlfriend Is Having Abdominal Pain After Abortion?

Hallow Mr. Rao, I have gone through your girlfriend s history. Prima facae, the case seems to be that of post-abortal infection may be due to incomplete abortion. Does she have any fever or foul smelling discharge? If so, they are indicating infection. The pain in abdomen is very much indicative of incomplete abortion with or without infection. In fact, termination of pregnancy is to be performed by Tab. Mifepristone and Misoprostol one after the other. These tablets are not over the counter medicines ; they need Registered Medical Practitioners prescription and observation. Though up to 9 weeks of pregnancy, usually the abortion is complete, I prefer a check up after about a week or so. For pregnancy older that 9 weeks, follow up is required. According to you, the abortion is complete. How did you decide that? Have you got ultrasonography examination done? Pregnancy test becoming negative does not mean the abortion is complete; it only means that the products of conception are no more viable. Some part of non-viable tissue remaining inside the uterine cavity also will give pregnancy test negative; however, it is incomplete abortion. For completion of abortion, the clinical test is that the bleeding stops and the reliable investigation is ultrasonography. From the history you have provided, I feel, it is incomplete abortion which may be infected or complete abortion with infection. The best option for you is to confirm the diagnosis about completion of abortion by ultrasonography. Then report to your Obstetrician. You will be put on antibiotics and if the ultrasonography reveals that some part of product of conception is still remaining inside the uterine cavity, it will have to be evacuated surgically. I hope I have provided you very clear explanation and important advice.