Do I need to have a uterine curettage after medical abortion if the uterus is less than 1 cm?

Medical abortion is a method of abortion that is widely used in clinical medicine. Of course, medical abortion also has certain risks. For example, incomplete abortion is the biggest problem that is easy to occur. In certain cases, uterine curettage may even be necessary. So, under what circumstances is a uterine curettage necessary? A detailed introduction will be given below!

Uterine curettage refers to the second surgery required after failed medical abortion or artificial abortion, but the operating procedures are basically the same. Curettage is different from abortion. It is used to remove the tissue remaining in the uterine cavity after incomplete abortion, help repair the uterus, and reduce the possibility of bleeding or infection. Currently there are painless uterine curettage and minimally invasive painless uterine curettage. Generally speaking, if bleeding has not stopped for more than 10 days after medical abortion, it is recommended to do an ultrasound examination to determine whether the abortion is not complete so that treatment can be started as soon as possible.

1. Incomplete abortion

Women usually need to stay in the hospital for 4-6 hours after taking abortion pills. During the observation period, regardless of whether the embryonic sac is seen to be expelled or not, as long as the patient has severe vaginal bleeding, uterine curettage should be performed immediately to stop the bleeding. After medical abortion, even if the embryonic sac is seen to be discharged, vaginal bleeding may be continuous, or may be more or less, or absent, for more than three weeks. B-ultrasound examination shows residual tissue, and uterine cleaning is required so that the endometrium can gradually repair itself.

2. Failure of medical abortion

The amount of vaginal bleeding after medical abortion is less. You should go to the hospital for an ultrasound examination one week later to confirm the condition of the embryo. If the embryo is not dead and continues to grow, a uterine curettage can terminate the pregnancy. If the embryo has died and not been expelled (the embryo has stopped developing), a uterine curettage is needed to remove the pregnancy products in the uterine cavity and prevent bleeding and infection.

3. Improper abortion

If a woman chooses an informal hospital or small clinic, abortion accidents may occur due to poor surgeon skills or poor medical equipment. If the abortion is incomplete, a uterine curettage operation will be required.

4. Hydatidiform mole

Hydatidiform mole refers to the situation in which the trophoblastic cells of the placenta villi proliferate after pregnancy, the interstitial tissue becomes highly edematous, and blisters of varying sizes are formed. The blisters are connected in clusters and shaped like grapes. In this case, a uterine curettage is also required.