What will be discharged after medical abortion?

Abortion is the only option for dealing with unwanted pregnancy. With the advancement of science and technology, there are more and more ways of artificial abortion, and the technologies involved are becoming more and more advanced, bringing great benefits to women. Of course, sometimes medical abortion is chosen for young girls. So, what exactly will be discharged from the body after medical abortion?

For medical abortion in early pregnancy, you can usually just take the medicine and observe at home. Usually, the fish bubble-like thing discharged is the gestational sac. If there is a lot of bleeding, you should go to the hospital for treatment in time.

According to regulations, you should go to the medical abortion unit for a follow-up visit two weeks after the gestational sac is expelled. If the bleeding has not stopped at this time, urine pregnancy and delivery tests and B-ultrasound examinations are needed. Those diagnosed with incomplete abortion should undergo a curettage. Vaginal bleeding will stop within 10 days after the operation. If the bleeding does not stop, it is caused by incomplete decidua exfoliation, but the bleeding is not too much when you see the doctor. You can take Motherwort Paste or Gongxuening or Chinese medicine Shenghua Tang. These Chinese medicines can stop bleeding and reduce inflammation, and can help the uterus contract, thereby helping the uterus to expel intrauterine residues out of the uterus. Oxytocin can also be injected intramuscularly to promote uterine contractions to expel remaining decidual tissue. For patients whose bleeding is 2-3 times more than the menstrual volume and whose bleeding does not decrease after conservative treatment, uterine curettage should be performed in time. Some patients believe that if they suffer from excessive bleeding after medical abortion, they can simply take hemostatic drugs such as Anluoxue and Zhixuemin. This is incorrect. Because hemostatic drugs achieve the purpose of stopping bleeding by changing the body's coagulation mechanism, they cannot expel residues in the uterine cavity and therefore cannot fundamentally solve the problem. Bleeding will stop only when the embryonic tissue in the uterine cavity is basically discharged and the uterus contracts well. It is worth noting that women who have undergone medical abortion sometimes suddenly experience a significant increase in bleeding, which may be several times the amount of menstrual bleeding, accompanied by large blood clots. This is caused by the exfoliation of embryonic tissue and poor excretion. At this time, they need to go to the hospital immediately for a curettage to stop the bleeding.

Even if the abortion is complete and the gestational sac has been expelled, there will still be a lot of bleeding in the first 2 or 3 days, which may be equivalent to or slightly more than the menstrual volume. This is normal and the bleeding will gradually decrease afterwards. Do not mistakenly believe that heavy bleeding in the first 2 or 3 days means that the bleeding is not complete or the gestational sac has not been expelled, and then perform a uterine curettage easily, causing unnecessary pain to women. As long as the bleeding is not very heavy, that is, more than 3 times the menstrual volume, do not perform uterine curettage for the time being, but observe closely, or give emergency conservative treatment measures first, because 10% of people will expel the gestational sac within a week.

Because medical abortion causes prolonged bleeding, the cervix relaxes, providing an opportunity for bacterial growth and retrograde infection. Therefore, if vaginal bleeding lasts for more than 7 days, antibiotics should be taken routinely for 3 to 5 days to prevent infection. A small number of patients do not pay attention to hygiene after medical abortion, and swim or have sex when the amount of bleeding is small or the bleeding has temporarily stopped, resulting in uterine cavity infection and endometritis. At this time, the patient's vaginal bleeding may not be heavy, but it may have a fishy smell, may be mixed with yellow secretions, or may be accompanied by dull pain in the lower abdomen. Treatment requires adequate antibiotics and the administration of motherwort paste or Shenghua Tang to promote the expulsion of unexpelled embryonic tissue as soon as possible. After the inflammation is controlled, if B-ultrasound examination confirms that there is still residual tissue in the uterine cavity, curettage can be performed and anti-inflammatory treatment can be continued after the operation.

Vaginal bleeding after medical abortion often occurs intermittently. Patients should not think that they can swim or have sexual intercourse just because there is no vaginal bleeding. This is wrong. Whether it is medical abortion or artificial abortion surgery, swimming and sexual intercourse should be performed after a menstrual period. Otherwise, it may lead to pelvic inflammatory disease.