The harm of painless abortion to the uterus

Abortion is very harmful to the body. If you don't take timely care of yourself, it is likely to cause some damage. For example, right after the abortion, the endometrium may be damaged. At this time, you need to wait for the uterine membrane to repair itself, otherwise it will cause bleeding and infection. In severe cases, it may even cause uterine perforation, cervical injury, bleeding and infection.

The answer is yes, all surgeries have possible risks.

The main indications for uterine curettage include incomplete abortion, missed abortion, hydatidiform mole, etc. Its main risks are as follows.

1. Uterine perforation

Uterine perforation is a more serious complication of uterine curettage. When combined with internal bleeding, infection, or other organ damage, it can be life-threatening in severe cases. If there are multiple perforations, the perforations are large, the ruptures are uneven, or there is infection, repair and suturing may be difficult, which may affect future pregnancies.

2. Cervical laceration

All instruments used in curettage need to enter the uterine cavity through the cervix for operation, so the cervix needs to be dilated. Especially for infertile women, the cervical tissue is relatively tough and more easily lacerated during operation.

3. Bleeding

The hemostasis of uterine bleeding mainly depends on uterine contraction. If there is excessive bleeding, it may be that the uterine contraction is not good, the embryo or fetus and its appendages are not completely scraped out, and some tissue remains, affecting uterine contraction, or it may be abnormal coagulation function. An extremely rare cause is pregnancy in a special part of the body, such as cervical pregnancy, isthmic pregnancy, scar pregnancy, etc.

4. Infection

Uterine curettage requires entering the uterine cavity through the vagina. The bacteria present in the vagina may enter the uterine cavity and cause retrograde infection. The sequelae of chronic pelvic inflammatory disease may lead to fallopian tube obstruction, hydrops, fallopian tube and ovarian cysts, pelvic connective tissue hyperplasia due to tissue structure destruction, extensive adhesions, hyperplasia and scar formation, which may further lead to infertility, ectopic pregnancy, chronic pelvic pain and recurrent attacks of pelvic inflammatory disease.

5. Uterine cavity residue

During pregnancy, the uterus becomes larger and softer. When incomplete abortion or missed abortion lasts for a long time, local tissue organization may cause difficulty in uterine cavity operation and easily cause uterine cavity residue. The remaining tissue is very prone to bleeding and infection.

6. Adhesions of the cervical canal or uterine cavity

Symptoms include postoperative amenorrhea, or a significant decrease in menstrual volume, accompanied by periodic lower abdominal pain or uterine enlargement and blood accumulation. Intrauterine adhesions can lead to amenorrhea, endometriosis, secondary infertility, and even miscarriage or premature birth in subsequent pregnancies.

7. Artificial abortion syndrome

Abortion syndrome is a series of comprehensive symptoms of vagus nerve excitement caused by excessive local stimulation, such as pale complexion, cold sweat, nausea, vomiting, dizziness, chest tightness, and even transient loss of consciousness, convulsions, accompanied by decreased blood pressure, bradycardia, arrhythmia, etc.

8. Long-term complications

Long-term complications include endometriosis, chronic pelvic inflammatory disease, etc. If the internal os of the cervical canal, endometrium and myometrium are damaged, it may affect subsequent pregnancy and delivery.

Therefore, uterine curettage surgery is not as safe and painless as some advertisements say. If you do not want to have children, you should pay attention to contraception. If you have an unexpected pregnancy, or unfortunately have an incomplete miscarriage or a missed miscarriage, you must go to a regular hospital and have the surgery performed by a professional gynecologist to avoid the above risks as much as possible.

Although there are all kinds of risks mentioned above, curettage is still necessary. For patients with incomplete abortion and missed abortion, residual tissue in the uterine cavity may cause bleeding and infection, and the uterus should be cleaned as soon as possible. The longer the residual embryonic tissue stays in the uterus, the more the embryonic tissue will become ossified and adhere to the uterine wall, making curettage more difficult. In addition, the uterine muscle fibers may degenerate and lose elasticity, increasing the risk of perforation. In addition, for patients with missed abortion, the necrotic tissue of the embryo stays in the uterine cavity for too long, which can easily cause coagulation dysfunction and DIC, which is life-threatening.