instruction: hello doctor I had a medical abortion during my ith week of pregnancy and bleeding lasted for 10 days a few days after the bleeding stopped and I had pain in the right lower abdomen that lasted for 24 hours two weeks later bleeding started again which I thought was my first period it was brown with clots later turned red it has been three weeks now and it still has not stopped it has been moderate throughout and now for the last three days it is brown and somewhat reduced I do not have any abdominal pain or tenderness no foul smelling discharge or fever either I am worried why the bleeding is so prolonged is this normal do I need and
output: hello welcome to icliniq com having prolonged irregular bleeding after medical termination is not a normal phenomenon it definitely indicates some problem one of the most common causes for prolonged bleeding could be retained products of conception which need to be evacuated or sometimes a condition called gestational trophoblastic neoplasms can also cause prolonged bleeding I would like to know two important things do you had a scan prior to your medical termination and if that was a normal intrauterine pregnancy or not to rule out ectopic pregnancy second thing is did you got a check scan done after the bleeding stopped to check if the expulsion was complete if retained products are present then evacuation would be required as they are a potential source for infections and can cause post abortal sepsis please revert back to me with the details I asked for so that I can guide you further ultrasound abdomen and pelvis serum beta hug levels depending on the test results