Twenty days after the abortion, blood flowed again

If a woman needs to have an abortion, she needs to pay attention to rest after the operation. However, everyone should know that if the uterus is not cleaned after the abortion, many complications will arise. If fresh bleeding occurs again 20 days after an abortion, it may be functional bleeding or there may be residue in the uterus. An ultrasound examination and another surgery are needed.

Termination of pregnancy by artificial or medical methods within 3 months of pregnancy is called early pregnancy termination, also known as artificial abortion. It is used as a remedy for unexpected pregnancy due to contraceptive failure. It is also used for those who need to terminate pregnancy due to illness or to prevent congenital malformations or genetic diseases. Artificial abortion can be divided into two methods: surgical abortion and medical abortion. Commonly used methods include vacuum aspiration abortion, forceps curettage abortion and medical abortion.

(1) Infection. After a woman takes anti-pregnancy drugs, the embryonic sac tissue in the uterine cavity can be discharged on the same day. Sometimes the pregnancy tissue is not completely discharged, the uterus is poorly involuted, and vaginal bleeding lasts for a long time, which can last for 2 to 3 weeks or even 1 to 2 months. Long-term chronic blood loss can cause anemia and reduce the body's resistance. At this time, bacteria often travel back through the vagina and cause inflammation of the endometrium.

(2) Incomplete abortion. Some women suffer incomplete miscarriage after taking the medicine, which affects uterine contraction and the repair of endometrial wounds, and causes a significant increase in vaginal bleeding, which is 2 to 3 times more than the normal menstrual volume. In severe cases, heavy bleeding may occur, leading to anemia and shock, requiring blood transfusions and emergency surgery for curettage and hemostasis.

(3) Impact on subsequent pregnancy. If unmarried women have multiple births or repeated miscarriages, the endometrium may be repeatedly damaged. During pregnancy, placenta previa is prone to occur, which can cause heavy bleeding before and during delivery. Some women also experience habitual miscarriage or even secondary infertility due to multiple artificial abortions.

(4) Menstrual disorders. Drugs can inhibit the function of the ovaries, affect the growth and development of follicles and even ovulation. Some women may experience menstrual disorders after medical abortion, which are manifested by shortened or prolonged menstrual cycles and increased menstrual flow.