Is it normal for the first period after medication abortion to last a long time?

Patient's question:

When having sex with my boyfriend without taking proper safety measures, I got pregnant. After discussing it with him, we decided to have a medication abortion. However, after the medication abortion, my first period lasted for a long time, and I had severe abdominal pain with a heavy menstrual flow. The doctor asked me if this situation is normal?

Doctor's answer:

In this case, you should go to the gynecology department of the hospital for a check-up. Find out what is causing the problem. If it is due to uterine inflammation caused by miscarriage, you can take some anti-inflammatory medication orally. If it is due to incomplete medication abortion, you will need to undergo a D&C procedure. In this situation, you should not just wait at home and carefully observe. You must go to the hospital for a check-up, because your age is still young and it should not affect future fertility.

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