How much bleeding is normal after medical abortion?

The amount of bleeding after a medical abortion is generally not much, usually not more than the amount of menstrual bleeding. The bleeding after a medical abortion will generally last for a week or about 10 days. If the bleeding is too much, it may be caused by uterine contractions, and medication needs to be taken in time for relief and treatment.

How much is normal after medical abortion?

The amount of bleeding after medical abortion is generally not more than the amount of menstruation. If it is less than the amount of menstruation, the bleeding will generally last about 7-10 days. If the amount of bleeding continues to be large, greater than the amount of menstruation, accompanied by blood clots and abdominal pain, it is necessary to consider the possibility of uterine atony and residual blood in the uterine cavity. Therefore, if the bleeding time exceeds 10 days and the amount of bleeding is still relatively large, you need to go to the hospital in time for a check-up with color Doppler ultrasound to rule out whether there is intrauterine blood accumulation or residual blood in the uterine cavity that causes excessive vaginal bleeding. If the amount of bleeding is heavy and there is no relief after treatment with uterine contraction-promoting drugs, and the amount of bleeding is still heavy, leading to anemia, timely uterine curettage and symptomatic treatment are required. If the amount of bleeding is small and there is no obvious abnormality in the follow-up color Doppler ultrasound, you can rest and observe more closely.

After a woman has a medical abortion, as the gestational sac tissue is discharged and the uterus reflexively contracts, vaginal bleeding gradually decreases. If the amount of bleeding suddenly increases on the third day after medical abortion, it indicates that the abortion was incomplete and there are residual residues in the uterine cavity, which affects the normal repair of the uterus and causes heavy bleeding. Sometimes a single major bleeding episode can cause hemorrhagic shock.

First, review the pelvic ultrasound to understand whether there is residual tissue in the uterine cavity and the size of the residual tissue. If the area of ​​residual tissue is relatively large, greater than 12 mm, direct uterine curettage surgery is required, along with hemostatic treatment.

However, if no embryo is expelled, it proves that it is not completely expelled. At this time, it is recommended to go for a follow-up examination in time. Finally, the amount of bleeding is determined by physical constitution. Even for women who undergo surgical abortion, bleeding may not continue. And if it is confirmed that the abortion is complete, there is no obvious abnormality, and there is no physical discomfort, then there is no need to worry. Normally, bleeding after medical abortion does not exceed three weeks. If it exceeds this period or if any physical abnormalities occur, you need to seek medical attention immediately.