u/Ilovemrbean816

I gave birth to my son last year in August 2025, healthy and happy baby who just turned 9 months old today.

I then became pregnant again in February. I went through two rounds of medical abortion, but the bleeding continued on and off. Later, doctors found retained tissue in my uterus, and I had to undergo an MVA procedure.

Because I had heavy bleeding in the last few days, my doctor prescribed Tranexamic acid 500 mg to control the bleeding, and Drospirenone 4 mg (a progesterone-only hormone tablet) to help regulate my menstrual cycle.

My doctor is fully aware of my medical history, including that I have a 3 mm brain aneurysm in the ophthalmic segment, and he still prescribed these medicines after examining me. But honestly, internally I am very scared and anxious to take them because of my aneurysm and the clotting risks I keep reading about.

Has anyone here been in a similar situation taking tranexamic acid or progesterone-only hormones while having an aneurysm or any vascular condition? Did you face any issues, or were you reassured by your doctors?

Would really appreciate hearing real experiences or advice. Thank you 🙏

I found out I was pregnant when I was around 5 weeks. It was an unplanned pregnancy, and I made the difficult decision to have a medical abortion because it had only been 8 months since giving birth to my son and I wasn’t physically or emotionally ready for another pregnancy so soon.

I took the prescribed medication (misoprostol) to pass the pregnancy tissue, but things didn’t fully resolve. Over the next couple of months, I had ongoing bleeding and scans showed retained tissue/clots. My doctor tried another round of medication, hoping it would clear naturally, but it still didn’t completely pass.

A couple of days ago, I finally had an MVA (manual vacuum aspiration) to remove the remaining retained tissue.

What’s confusing me is that I’ve had this pain on one side of my abdomen since before the MVA, and it’s still there now. It doesn’t feel like the typical uterine cramps everyone talks about. It feels more like trapped gas/wind pain or pressure — sometimes sharp, sometimes heavy, and I notice it more with movement or when changing position.

I am passing gas and the bleeding has reduced after the MVA, which seems like a good sign, but I’m worried because the pain has been there throughout this whole process.

Has anyone had one-sided abdominal pain with retained tissue or after an MVA that turned out to be normal? Was it gas, bowel-related, uterus-related, or something else?