Is medical abortion not clean enough and uterine curettage equivalent to two abortions?

Women who are less than 50 days pregnant will choose medical abortion, thinking that the operation will be risky. Before the abortion, they should be fully prepared and checked, and bring sanitary napkins and be accompanied by family members. Generally, the time for medical abortion is about 4 hours. Of course, there are some individual cases where the time for medical abortion will be longer. However, as everyone knows, medical abortion also has risks. When the examination after the abortion finds that there are still residues in the uterus, then another operation will be needed to clean the uterus. This is equivalent to a secondary injury to the uterus, which is more harmful to the body than surgical abortion, so women should choose with caution.

Is medical abortion not clean enough and uterine curettage equivalent to two abortions?

Some women may feel that abortion surgery is very troublesome, so they often choose medical abortion, which is easy to use and can also reduce the psychological pressure and corresponding complications brought by surgery. If you are pregnant within 49 days, going to the hospital for a medical abortion is indeed a more effective way. But sometimes medical abortion for female friends may not be complete, then we need to perform uterine curettage, which is obviously a secondary injury.

There are many contraindications to medical abortion:

Medical abortion must first be an intrauterine pregnancy. And female friends must be in good health, without high blood pressure, anemia, uterine fibroids and other diseases. If you have never given birth and have a history of failed medical abortions, we do not recommend medical abortion. Before the conversation, the doctor will also ask about the medical history in detail. We must undergo a detailed examination and finally confirm that the woman can tolerate medical abortion before prescribing the medicine.

Under what circumstances is a palace cleaning necessary?

1. There are residual embryonic tissues in the uterine cavity: After medical abortion, if the embryonic sac is not expelled, or if these residues are found after examination, then a uterine curettage operation is required.

2. Severe bleeding after medical abortion: After medical abortion, you need to be observed in the hospital. Once you find that a female friend has persistent vaginal bleeding, regardless of whether the embryo has come out or not, we need to perform a uterine cleaning. I would like to warn all female compatriots here that after a medical abortion, everyone must observe the situation carefully and never take any medicine on their own.

3. Less bleeding: If the amount of bleeding after medical abortion is less, it may be that the medical abortion has failed and the embryo continues to grow, or it may be that the embryo has died but has not been expelled. In both cases, we actually need to perform a uterine curettage. Therefore, female friends should go to the hospital for a check-up about a week after the abortion to avoid infection due to failed abortion.

4. Long bleeding time: Long bleeding time has always been a disadvantage of medical abortion, and it usually lasts about three days. If vaginal bleeding lasts for three weeks or more, regardless of whether the embryo has been discharged or not, you should go to the hospital for examination. If any residue is found, uterine curettage must be performed.

Medical abortion has actually caused some damage to the uterus of female friends. If there is residual tissue, then during the process of uterine cleaning, we are actually causing secondary damage to the female uterus. Therefore, more female friends tend to choose artificial abortion.

Things to note when having medical abortion:

1. Medical abortion is generally only suitable for women within 50 days of pregnancy. If it exceeds 50 days, the risk of medical abortion is very high and a second uterine curettage may be required.

2. Before taking the medicine, you must do an ultrasound examination to see how the embryonic sac develops and where it is located, so that you can know whether medical abortion is suitable.

3. For medical abortion, you must not take medication on your own without authorization. You must use it under the guidance of a doctor.

4. After taking the medicine, you must pay attention to observe what is discharged and collect it well. When you go to the hospital, you can show it to the doctor so that you can know whether it is completely discharged and whether further treatment is needed.

5. After medical abortion, you must eat something to promote blood circulation and remove blood stasis, such as Chanfukang. This will help to expel the waste in the uterus to avoid adverse effects on your health.

6. There will be continuous bleeding after medical abortion, but the amount of bleeding will not be large. If the bleeding time exceeds 10 days, you should go to the hospital for a check-up to see if there is any abnormality in the uterus, so as to reduce damage to the cervix.

How many hours does it usually take to complete a medical abortion?

There are currently two main types of abortion drugs used in medicine, one is mifepristone and the other is misoprostol. These two drugs are used in combination. Usually, you should take all the mifepristone given by the doctor in the first two days, and take the misoprostol all at once on the third or fourth day. Within the next 2 to 3 hours, pregnant women who are undergoing medical abortion will experience strong contractions in their uterus and feel severe pain in their abdomen. If the medical abortion goes particularly smoothly, the embryonic tissue can be discharged from the vagina within four hours.

More than 50% of pregnant women who do not want children can expel fetal tissue from the vagina within six hours. Therefore, after pregnant women who need medical abortion take misoprostol tablets under the supervision of a doctor, the doctor will ask the pregnant women to be observed in the hospital for six hours.

If the embryonic tissue is still not discharged from the vagina six hours after taking the abortion-inducing drug, and the woman's vaginal bleeding is not severe and she does not feel any particular discomfort, she can usually go home and observe. For most pregnant women, after returning home, the embryonic tissue will slowly be discharged from the vagina within 24 hours.