Do I need to have a uterine curettage after the gestational sac is expelled?

After the gestational sac is expelled after medical abortion, there is generally no need for uterine curettage. However, it is best to check the residual conditions in the uterus. If it is not expelled completely, it can easily cause ectopic pregnancy in women. Therefore, it is best for women to undergo uterine curettage after medical abortion to avoid abnormal conditions in the second pregnancy. The success rate of completely expelling the gestational sac from medical abortion is only 95%. The expulsion of the gestational sac is a manifestation of medical abortion, but it does not mean that the abortion is complete.

Is it necessary to have a uterine cleaning after the gestational sac is expelled?

A uterine cleaning may be required. With the current medical abortion technology, the success rate of completing the discharge is not 100%, but only 95%, so it is still possible that the discharge is not complete; in addition, even if the gestational sac is discharged, it is only a manifestation after the medical abortion, and it does not mean that the discharge is complete. Therefore, whether a uterine curettage should be performed after the gestational sac is discharged depends on the following circumstances.

What else should we consider in the Qing Palace?

1. Check the bleeding situation: If a woman sees a gestational sac being discharged after taking medical abortion, but the bleeding is not serious, only a small amount of bleeding, and there is no serious vaginal bleeding, there is no need to take uterine curettage to achieve the purpose of bleeding. On the contrary, if the amount of bleeding is heavy, immediate uterine curettage surgery is required to stop the bleeding.

2. Look at the results of the B-ultrasound examination one week later: Although the gestational sac has been discharged and the amount of bleeding is not much afterwards, it is finally recommended that the patient go to the hospital for a B-ultrasound examination one week after the medical abortion to confirm whether the embryo has been completely discharged. If it is not completely discharged, a uterine curettage operation is required in time to prevent bleeding or infection. If it is confirmed that it has been completely discharged, then there is no need to worry.

3. Check whether the medical abortion is clean: If the medical abortion is not clean, you will feel nausea, aversion to greasy food, lower abdominal pain, and continuous vaginal bleeding. You can judge based on whether you have these symptoms. If so, it largely indicates that the medical abortion is not clean. It is best to go to a regular hospital for a gynecological examination and B-ultrasound examination immediately.

Although medical abortion is more convenient than surgical abortion, it also has potential harm, especially for female friends who have been pregnant for some time. If medical abortion is used at inappropriate times, it can easily cause very serious problems in the female uterus and easily lead to infertility. Now you should know the answer to the question "Is it necessary to clean the uterus after the gestational sac is expelled?" I hope the above content can help you.