The blood is not clean after the curettage

Not all abortions are successful. Some women with special physical conditions may experience accidents during abortions. In addition, normal women should also pay attention to their physical symptoms after an abortion, and promptly discover whether any abnormal conditions occur in the body after the curettage. After the curettage, it is normal for women to bleed, but what should they do if they keep bleeding after the curettage?

Diagnosis of the condition

Vaginal bleeding is normal for women after a curettage. Generally, vaginal bleeding lasts for 7-14 days after curettage, and the bleeding does not exceed the menstrual volume. If the bleeding time exceeds 15 days, you need to go to a regular hospital for examination in time. Because there are many factors that cause vaginal bleeding after curettage, the first thing to do is to diagnose the condition and treat it symptomatically.

Hematouterine cavity

After curettage, blood and blood clots accumulate in the uterine cavity, which is called intrauterine hematocele. Post-curettage bleeding caused by intrauterine hematocele is mainly due to poor uterine contraction after suction curettage.

Treatment: After the second uterine curettage, uterotonics and antibiotics should be given continuously for three days or more.

Infect

Common causes of continuous bleeding after curettage and curettage infection include endometritis, myometritis, adnexitis, pelvic inflammatory disease, etc. Patients experience abdominal pain, abdominal tenderness and rebound pain, and long-term small amounts of vaginal bleeding or irregular bleeding, which is dark red and may be accompanied by an odor.

Treatment: Antimicrobial drugs can be given according to the infection situation, supplemented with symptomatic treatment, physical therapy, etc.

Incomplete curettage

Vaginal bleeding after curettage may not stop, more or less lasting for more than two weeks, and there may be varying degrees of lower abdominal pain and back pain. B-ultrasound showed that the uterus was slightly enlarged and there was residual tissue in the uterus.

Treatment: Depending on the patient's condition, appropriate treatment should be given, such as curettage to remove the intrauterine embryo or its appendages, anti-infection, etc.

Nursing for bleeding after curettage

1. Pay attention to rest and strengthen nutrition. After the curettage, you should rest in bed for 2 to 3 days, then you can get out of bed and move around, gradually increasing the time you spend on activities. Do not engage in heavy physical labor and avoid contact with cold water within half a month after curettage. It takes about a month for the uterus to recover after curettage. Therefore, we should pay attention to increasing nutrition, taking in adequate protein, enhancing the body's resistance to disease, and promoting the early repair of injured organs. After the curettage, you should eat more protein-rich foods such as fish, meat, eggs, and bean products, as well as fresh vegetables rich in vitamins to speed up your body's recovery.

2. Keep the vulva clean and hygienic, and avoid sexual intercourse. After curettage, the cervix has not yet closed and the endometrium also has a repair process. During this period, special attention should be paid to keeping the vulva clean and hygienic. Do not take a bath in a tub within half a month after the operation to prevent unclean water from entering the vagina, leading to bacterial invasion and infection. Avoid sexual intercourse within one month after curettage.

3. Observe the bleeding situation and prevent the condition from worsening. If vaginal bleeding lasts for more than one week after curettage, and is accompanied by symptoms such as lower abdominal pain, fever, turbid and smelly leucorrhea, you should go to the hospital for examination and treatment in time.

4. Abdominal pain will occur due to uterine contraction after the operation, and most of the time it will be relieved in about half an hour to an hour. If severe abdominal pain, vaginal bleeding with large blood clots, and high fever occur after a few hours or days, you should go to the hospital immediately.

5. Pay attention to contraception to avoid pregnancy again. After curettage, the ovarian and uterine functions gradually recovered and the ovaries ovulated on schedule. If you don't stick to contraception, you will get pregnant again soon. Some women get pregnant again in the same month after having an abortion, which has a greater impact on the body. Therefore, reliable contraceptive measures should be chosen. Abortion can only be used as a remedial surgery as a last resort after contraceptive failure. Abortion should never be used as a contraceptive measure to protect the physical and mental health of women.

Health Tips

Since curettage can cause damage to the vitality of women's bodies, causing them to become weak and sweat, it is important to pay attention to replenishing water to the female body in order to avoid dehydration. In addition, the substances excreted in women's sweat contain water-soluble vitamins, so they should eat more foods containing vitamins B and C. For example, fresh vegetables, fruits, etc., which are also beneficial to the moisturizing of women's own intestines.