Why did I bleed again half a month after the abortion?

If you suddenly bleed again half a month after an abortion, it may be that there is a bacterial infection in the vagina. However, a detailed gynecological examination is still required to know the specific cause of the disease. Also, you need to pay attention to your diet after the operation and avoid eating foods that will affect your body's recovery. It is best not to have sex within a month. If you have sex, the vaginal mucosa will be damaged again, and the recovery will be slower.

Observation after medication

1) Pay attention to the duration and amount of vaginal bleeding after taking mifepristone. If the amount of bleeding is heavy or tissue is discharged, you should go to the hospital for treatment in time; 2) After using prostaglandins, you should stay in the hospital for observation, blood pressure, pulse, diarrhea, abdominal pain, bleeding, and whether the fetal sac is discharged and any side effects of the medication. If some side effects are more obvious, timely symptomatic treatment can be given. 3) After the fetal sac is expelled, a medical staff will carefully check the expelled material (the uterus will be cleaned at any time if there is a lot of bleeding). The patient will be discharged after 1 hour of observation. Before leaving the hospital, the blood pressure and pulse will be measured, recorded, and the follow-up date and precautions will be given (2 weeks and 6 weeks after abortion).

Patients whose fetal sac has not been expelled will be discharged from the hospital within 6 hours and will be scheduled for ultrasound examination and follow-up within 1 week. If the abortion fails, artificial abortion vacuum aspiration will be performed;

On the 15th day of medication: All subjects were required to return for follow-up visit 2 weeks after taking the medication. If the bleeding is more than the menstrual volume, you should go to the original hospital for examination. For patients diagnosed with incomplete abortion through B-ultrasound and HCG examination, uterine curettage should be performed as appropriate and the patient should be sent for pathological examination.

Postoperative precautions

1) Follow up on schedule; 2) No sexual intercourse or bathing for one month; 3) Appropriate activities; 4) Take a 2-week vacation; 5) Contraceptive guidance: After medical abortion, you can take short-acting oral contraceptives at the same time, or have an intrauterine device inserted after 2 menstruations.

Follow-up

Follow-up of medical abortion is the most important, because after the gestational sac is expelled, the decidua will still be gradually expelled, so regular follow-up is crucial. 1) One week after medication: If the fetal sac is not expelled on the day of medical abortion, a follow-up examination should be conducted one week later. If it is confirmed that the pregnancy is continuing or the embryo has stopped growing, vacuum aspiration should be performed. 2) 2 weeks after medication: If there is not much bleeding after the fetal sac is expelled, you can continue to observe the situation. B-ultrasound examination or HCG measurement should be performed. If necessary, the uterus should be cleaned and the scraped material should be sent for pathology. 3) After 6 weeks of medication, evaluate the abortion effect and understand the menstrual recovery status. If vaginal bleeding persists, uterine curettage may be necessary.

Abortion effect evaluation

1) Complete abortion: spontaneous expulsion of the complete gestational sac or no obvious expulsion of the gestational sac 14 days after medication, no gestational sac found by B-ultrasound or negative urine pregnancy test, uterus returns to normal size, and bleeding stops without curettage; 2) Incomplete abortion: spontaneous expulsion of the gestational sac within 14 days after medication, and curettage is performed due to excessive bleeding from the gestational sac including the decidua or for too long until the onset of menstruation; 3) Failure: no expulsion of the gestational sac within 14 days after medication, the uterus remains the same or continues to grow, blood HCG rises, gestational sac is still found by B-ultrasound, and artificial abortion vacuum aspiration is used to terminate the pregnancy.