Bleeding 5 days after abortion

Many women actually do not understand how much harm abortion can cause to the body, so they proceed blindly. Even many women do not pay attention to private hygiene and lifestyle adjustments after abortion, which leads to uterine infection. In fact, before and after an abortion, women should be mentally prepared and understand some relevant knowledge. If bleeding occurs 5 days after an abortion, you will know what to do.

The common causes of bleeding are as follows:

Infectious bleeding is more common, mainly due to vaginitis or cervicitis in patients. No treatment was given before surgery or the treatment was incomplete, the vagina and cervix were not disinfected strictly during surgery, or a few people had sex too early after surgery, causing bacteria to enter the uterine cavity from the cervical opening and cause acute endometritis, myometritis, acute pelvic inflammatory disease, etc. The clinical manifestations are continuous vaginal bleeding, dark red or light red blood with a foul odor. Severe cases are accompanied by lower abdominal pain, anal swelling, fever, chills, etc. After the onset of the disease, sufficient doses of antibiotics are used to control the progression of the disease and stop bleeding.

Incomplete abortion bleeding is caused by abnormal uterine position in pregnant women, such as excessive anteversion or anteflexion, or retroversion and retroflexion, or the embryonic tissue cannot be completely sucked out during surgery, resulting in some embryonic tissue remaining, affecting the normal contraction and recovery of the uterus, and can cause continuous vaginal bleeding. The bleeding is intermittent and increases, and is bright red or with blood clots of varying sizes, accompanied by lower abdominal distension, back pain and other discomforts. A small number of patients may suffer from severe bleeding, or even coma or shock, and need to be rushed to the hospital for emergency treatment.

Poor uterine involution is more common in women who have an abortion in the later months of pregnancy, during lactation, or after a cesarean section, especially those who do not rest after the abortion and insist on working, resulting in continuous vaginal bleeding after the operation. This type of patient can quickly achieve the purpose of hemostasis by resting and applying uterine contraction agents, such as ergot oxytocin or Yimu Gao granules.

Cancerous bleeding is rare in clinical practice and is often misdiagnosed as bleeding from other causes. According to statistics, approximately 0.1% to 3.6% of patients develop choriocarcinoma after abortion. Anyone who has postoperative vaginal bleeding that has not responded to the above treatments, especially those that have been repeatedly treated with curettage, should be highly alert to the possibility of malignant transformation.