What does uterus coming out after abortion indicate?

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on what you have described (feeling like the uterus is coming out after a Misoprostol-induced abortion at six weeks), this could be serious. Here are some possibilities:

1. Uterine prolapse: Rare after abortion, but can happen, especially if there is weakness in the pelvic muscles or excessive straining.

2. Incomplete abortion or retained products of conception (RPOC): Sometimes tissue remains in the uterus, causing pressure or a feeling of something coming out.

3. Cervical dilation: Misoprostol causes the cervix to open, and it might still be partly dilated. Sometimes this can make you feel like things are "falling out."

4. Vaginal or cervical prolapse (rare at your age but possible in certain situations).

Immediate advice:

Go to an emergency room or a gynecologist immediately. You must be examined to check:

1. If the uterus is intact.

2. If there is heavy bleeding.

3. If tissue is stuck in the cervix or vagina.

4. If you need a procedure like a surgical evacuation.

5. Do not try to push anything back inside.

Watch for symptoms like:

1. Heavy bleeding (soaking two pads per hour).

2. Foul-smelling discharge.

3. Severe abdominal pain.

4. Fever or chills (signs of infection).

In the hospital, they will likely do:

1. Pelvic examination (to check if the uterus or tissue is prolapsing).

2. Ultrasound (to check if abortion is complete or if anything remains).

3. Blood tests (if needed, for infection or anemia).

Since Misoprostol is very effective, most abortions are complete by three days, but if you feel something physically coming out, it is not normal, and you need urgent care to prevent serious complications.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.