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Suffering from irregular bleeding post surgical abortion. Is this real menstruation?

Last Updated - Fri, Mar 16 2018

Detailed Question:

I had a surgical abortion to terminate an unwanted pregnancy of 38 days when my gynaecologist suggested that the recent medical abortion with misoprostol and mifepriston was probably a failure as it failed to occur enough bleeding! Surgical abortion I underwent about 13 days ago followed by an unexpected cease of bleeding for next 2 days and then bled for 5 days. Now after 13 days again bleeding started feeling like normal menstrual bleeding with abdominal heaviness and slight cramp. Started taking Novelon as my doctor prescribed, and again unfortunately my bleeding vanished after just 1 day!! I never know what's actually happening with me! Will the pills work as contraception from now on? Was it a real next menstruation after surgical abortion? Please help, I've a anaemic tendency also.....

Category: Gynaecology

Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology
Bharati Vidyapeeth Medical College & Hospital, Pune

Since you have an anaemic tendency your periods may have been lighter than usual. However this will require checking your Haemoglobin levels to know the cause of light bleeding. Also you must get an Ultrasound Abdomen Pelvis scan to make sure it has nothing to do with the abortion or pregnancy since light bleeding can also be a sign of other problems. You should take care of your periods and chart any irregularity to get it checked with a Gynaecologist. Also you should seek treatment for your anaemia and it will require the above tests to start medication to improve your iron or haemoglobin levels depending on the cause. 


Anemia is a condition where the number of healthy red  blood cells (RBCs) in the blood is lower than normal. RBCs transport oxygen throughout the body, so a shortage of these  cells can be serious.

Types of Anaemia

  • Iron-deficiency anaemia is  the most common type of anaemia. It commonly affects children and women of all  ages – especially women who are menstruating. It's estimated that at least 1  out of every 5 women in North America have iron-poor blood.

  • Sickle cell anemia is  another well-known type of anemia. This condition affects millions of people  worldwide. It is a hereditary disease, passed on to children by parents with  the altered genetic material. People most commonly affected include those of  African, Middle Eastern, Mediterranean, or Indian descent. Every year, 1 in 12 babies  of African descent are born with a genetic potential to pass sickle cell anemia  on to their children. It's estimated that 1 out of 400 babies of African  descent will have the disease.

  • Aplastic anemia is a form of  anemia where the bone marrow stops producing all types of blood cells. This  type of anemia is very serious, but fortunately rare. It affects 2 to 12 out of  every 1 million people each year. Aplastic anemia occurs in both adults  and children.

  • Anemia  of chronic disease is a mild form of anemia that occurs with  people who have diseases that last more than 1 to 2 months. Such diseases  include tuberculosis, HIV, cancer, kidney disease,  rheumatologic disorders, and liver disease.


The symptoms of moderate to severe iron deficiency anemia include:

  • general fatigue
  • weakness
  • pale skin
  • shortness of breath
  • dizziness
  • strange cravings to eat items that aren’t food, such as dirt, ice, or clay
  • a tingling or crawling feeling in the legs
  • tongue swelling or soreness
  • cold hands and feet
  • fast or irregular heartbeat
  • brittle nails
  • headaches

Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology
Bharati Vidyapeeth Medical College & Hospital, Pune

Dr. Garima Sawhney is a Gynecologist in Gurgaon. Her expertise and utmost care and compassion for her patients makes her one of the most sought-after Gynecologists.

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The above medicine data is written by Dr. Garima Sawhney. It is edited, updated and maintained by JustDoc Quality Team. If you have any queries regarding the data, please email us at Read about our Medical Team here.

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Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology

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Suffering from irregular bleeding post surgical abortion- Justdoc

I am suffering from irregular bleeding post surgical abortion. Can you please tell me if its real menstrual flow? Will the pills work as contraception from now on?