Is it necessary to have a uterine curettage if the abortion is not complete?

Medical abortion refers to the use of oral medication to soften the cervix, stimulate the uterus to cause frequent contractions, and expel the fetal sac from the uterus. The most important check after medical abortion is to determine whether the abortion is clean. So, if the medical abortion is not complete, is it necessary to have a uterine curettage? Let's have a simple understanding and understanding of this issue. I hope the following points will be helpful to everyone!

If the medical abortion is not complete, whether or not to perform uterine curettage depends mainly on the nature and size of the residues. First, if it is simple uterine effusion or the residual volume is less than 2 centimeters, and there is no rich blood signal, this situation does not require uterine curettage. You can use uterine contraction and frequent promotion drugs and wait for the natural menstruation. These traditional methods can expel most of the residual. Second, if the remaining blood is more than three centimeters after medical abortion, there is a lot of blood, or conservative treatment is ineffective, it is recommended to perform uterine curettage in this case. Because traditional treatment is usually unsuccessful, if uterine curettage is not performed, it will lead to local bleeding infection, and in severe cases, it will cause endometrial polyps.

If the abortion medication is taken within 49 days of pregnancy, in this case, most of the time, uterine curettage is not required, but if it exceeds 49 days, uterine curettage may be required. This is because medical abortion requires that the test tube embryo tissue cannot exceed 49 days. After that, the effect of such drugs on the fetus will not be so great, and it cannot cause complete abortion, but it may cause remnants of test tube embryo tissue.

Therefore, after a normal medical abortion, you need to go to the hospital for a B-ultrasound examination about ten days later to see if there is any residual tissue in the uterus. If there is a lot of residue, you need to have a uterine cleaning. If it is relatively small, you can take medicine to help them excrete it.