What if the pregnancy test is positive 45 days after medical abortion?

After a woman becomes pregnant, her hormone levels will continue to rise. However, after a miscarriage, the hormone levels will slowly return to normal. However, it does not return to normal immediately after a miscarriage. Usually, there is a process of gradual recovery. Some women still test positive for pregnancy 45 days after a medical abortion. What is going on in this situation?

What if the pregnancy test is positive 45 days after medical abortion?

Generally speaking, the hormone levels in the body return to normal in about 3 weeks after miscarriage. In a case like this, where it has been 45 days since the miscarriage, it is best to go to the hospital for a check-up. It is possible that you are pregnant, or it may be caused by other reasons.

When is the best time to have medical abortion?

There is a strict time limit for the use of medical abortion. It is suitable for terminating pregnancies within 49 days. That is, only women whose pregnancy does not exceed 49 days can undergo medical abortion. 49 days means one and a half months from the last menstrual period. The best time for medical abortion is within 49 days of pregnancy. Because in the first 49 days of pregnancy, the enlargement of the uterus is not very obvious, and there is not much pregnancy tissue fluid, and the fetus is relatively small, having a medical abortion within 49 days of pregnancy can also reduce some of the risks that may be caused by medical abortion. However, in order to ensure your own safety, you will need to stay in the hospital for observation for a period of time after the medical abortion to see whether the pregnancy tissue is clean. If the medical abortion is incomplete and not handled in time, it may cause heavy bleeding.

Of course, within 49 days of pregnancy is only a reference time for medical abortion. The specific time for medical abortion depends on the results of B-ultrasound examination. It is appropriate to do medical abortion when the gestational sac reaches a certain size. It is not as people usually think that the earlier the medical abortion is done, the better. However, if the pregnancy is more than 49 days, medical abortion is not allowed. This is because the gestational sac in the uterus will gradually grow larger as the pregnancy progresses. As a result, the gestational sac cannot be completely expelled from the body by drugs alone. It can easily cause heavy bleeding and even threaten life safety. Therefore, women who are preparing for medical abortion must grasp the time.

Medical abortion process.

1. First, the doctor must determine whether the patient is suitable for medical abortion. The patient's medical history was inquired, and a full physical and gynecological examination was performed on the patient. The examinations performed included urine pregnancy test, vaginal cleanliness, Trichomonas and fungi, blood routine and blood type, etc., and B-ultrasound examination was performed if necessary.

2. After the patient meets the conditions for medical abortion, the doctor must explain to the patient in detail the efficacy of the medication, the usage and dosage of the medication, and the possible side effects of taking the medication. After the patient agrees, the doctor prescribes the medicine to the patient.

3. Patients should take mifepristone orally for the first two days and it is best for them to fast for 1 hour after taking the medicine. When taking mifepristone, the adverse reactions are mild and most women do not feel anything. After taking the medicine, you can go home and work as usual. A few people may experience mild dizziness, abdominal pain, and a small amount of vaginal bleeding. Note: A small number of women will expel the gestational sac by taking mifepristone alone. If the bleeding is not too much, you can keep the discharge in a clean small bottle and take it to the hospital for examination on the third day (the day you originally scheduled to take misoprostol). If the bleeding is heavy, you should immediately take the discharge to the hospital emergency room.

4. Take misoprostol orally on the third day. Do not eat for two hours before and after taking the medicine. After taking misoprostol, about 70% of people will expel the fetal sac within 4-6 hours. It is best to stay in the hospital during this period and have a doctor monitor your bleeding, abdominal pain, and discharge. The fetal sac that is discharged with the blood is usually pink, fleshy tissue, and sometimes a small blister can be seen inside it. If the fetal sac is not expelled during observation in the hospital, pay attention to vaginal discharge after returning home. After 1 week, you should take the discharge to the hospital for a follow-up examination.

5. The duration of vaginal bleeding after medical abortion is generally longer than that of women who undergo curettage. Overall, the average number of days of bleeding is 14-18 days. Therefore, you should return to the hospital for a follow-up check-up about 2 weeks after the miscarriage. If bleeding persists for 3 weeks, or if the amount of bleeding is heavy and accompanied by blood clots, a curettage should be performed promptly to avoid sequelae that may affect future pregnancies.