What should I do if the abortion is not clean?

For most women who have an unexpected pregnancy, they will basically choose to terminate the pregnancy through artificial abortion. Whether it is artificial abortion or medical abortion, there will be the phenomenon of incomplete abortion. Incomplete abortion usually requires uterine curettage. However, during the uterine curettage, some people may have problems with the doctor's skills or strong tissue adhesion, or there may be a lot of residues, which can easily cause incomplete uterine curettage. What should we do if the uterine curettage is not clean?

What to do if the abortion is not clean?

A second curettage is performed after the diagnosis of incomplete curettage.

Curettage can be used to stop bleeding and help diagnose infections, cancer, infertility and other diseases. Normally, once the patient feels well enough (usually the same day), they can resume normal activities. Vaginal bleeding, lower abdominal cramps and back pain may occur after the operation and last for several days. Painkillers can be taken to relieve the pain. Due to trauma to the endometrium after curettage, vaginal bleeding will occur within two weeks after the operation. Generally, the amount of blood is less than or similar to the menstrual amount, which is normal. If the operation is not performed completely, a small amount of fetal tissue will remain in the uterus, which may affect uterine contractions and cause continuous bleeding or cause adhesions, infections, etc. It is best to perform another careful surgery to remove the remaining tissue. Abnormal position or shape of the uterus is generally more likely to cause this sequelae. Therefore, if the curettage is not clean, a second curettage should be performed after confirmation.

Symptoms of an unclean curettage

1. Nausea and aversion to greasy substances: Other typical symptoms of incomplete abortion are nausea, aversion to greasy substances, lower abdominal pain, and persistent vaginal bleeding.

2. Itching caused by infection: This is one of the symptoms of incomplete abortion. If the B-ultrasound shows that there is no residue in the uterus, then intrauterine infection should be considered, because the blood after abortion is a good breeding ground for bacteria. If the symptoms of an incomplete abortion are very serious, then during a gynecological examination, the uterus will be tender and there will be symptoms such as fever.

3. Prolonged bleeding time: If the abortion is not done cleanly, the symptoms usually include lower abdominal pain and continuous vaginal bleeding. The bleeding time after medical abortion is 1-3 weeks, and the amount of bleeding gradually decreases. If the bleeding decreases and then increases again, or does not decrease at all, or gradually increases, these are symptoms that the abortion was not complete.

What are the dangers of unclean abortion and uterine curettage?

First, incomplete miscarriage may occur. If vaginal bleeding does not stop after curettage and the bleeding lasts for more than half a month, it may be an incomplete abortion. Of course, to be on the safe side against the sequelae of curettage, you must go to the hospital for relevant examinations in time.

Second, the sequelae of curettage. Infection may occur. The most common infections are adnexitis, pelvic inflammatory disease, endometritis, myometritis, etc. The main manifestations are abdominal tenderness, abdominal pain and rebound pain, and irregular vaginal bleeding or long-term small amount of blood outflow, dark red color, and odor. Uterine cavity hematocele may occur, which refers to the accumulation of blood and blood clots in the uterine cavity after abortion, mainly caused by poor uterine contraction after suction curettage.

Third, the sequelae of curettage caused by insufficient rest after ectopic pregnancy surgery may result in incomplete recovery of the uterus, abnormal function, ovarian endocrine abnormalities and other endocrine disorders and gynecological diseases. In order to reduce the sequelae of ectopic pregnancy, experts recommend that you choose Helen's abortion to solve the problem.