A pregnancy can be terminated using medication or through procedures that surgically remove the developing fetus from the uterus. No matter how it's performed, pregnancy termination (or abortion) is a physically and emotionally challenging procedure for any woman. It takes a while for your body to recover after an abortion, and there are a number of side effects that women should be prepared for---including bleeding.
Time Frame
Bleeding is different for every woman and every pregnancy termination. How much and for how long you bleed may depend on factors such as how far along you were in your pregnancy and what procedure you had. Bleeding may last as little as only a few days, but it may last as long as six weeks.
What Bleeding Is Like
Not every woman bleeds after pregnancy termination---some don't experience any at all. Within the first few days after pregnancy termination, you may experience only light bleeding or spotting. After about five days, bleeding may increase---and that's normal, so don't worry unless the bleeding is excessive. As bleeding becomes heavier, the blood may also get darker and thicker. It's common for women to pass blood clots---thick clumps of dark blood. This is just the uterus cleaning itself out and preparing for the next menstrual cycle. Clotting shouldn't last longer than 24 to 48 hours.
What to Expect
It's normal for bleeding to stop and start, and alternate between light spotting and heavier bleeding. It may look like a brown-colored discharge, or be brighter in color. If bleeding is bright red and continues for more than two weeks, call your doctor. You will likely get your period again within four to six weeks after the pregnancy termination, unless you are taking a contraceptive that would prevent that.
Controlling Bleeding
Wear a sanitary pad to control bleeding after pregnancy termination. Change it frequently, and keep an eye on how much you are bleeding and how often you need to change your sanitary pad.
What Not to Do
Take it easy for the first few weeks after your pregnancy termination. That means no exercise, no douching, no intercourse and no tampon use. You don't want to put anything inside your vagina for at least a few weeks to let everything heal.
When to Call Your Doctor
If you have excessive bleeding, meaning that you soak through a sanitary pad in two hours or less, see your doctor immediately. If you have a fever or severe pain, you should also see your doctor. If your bleeding continues for longer than six weeks (or whatever your doctor says is normal for you), see your doctor.
