One month after the abortion, there is still bleeding

Women will become very weak after having medical abortion and are often prone to various inflammatory problems. In severe cases, heavy bleeding may also occur. However, some measures, such as using sanitary napkins, can be taken to prevent bleeding from flowing to other places. However, it is necessary for women who have undergone medical abortion to have regular check-ups to prevent gynecological inflammatory diseases. So I still have bleeding after one month of medical abortion

Why?

This situation may be caused by incomplete medical abortion and the organization of residual tissue in the uterine cavity. In addition, it may also be caused by the failure of ovarian function to fully recover after medical abortion. Because the drugs used in medical abortion can inhibit women's ovulation and affect the function of the ovaries. Therefore, when this happens, you need to first do a pelvic ultrasound examination to see if there is any residual tissue in the uterine cavity.

If there is any residual tissue, because it has been a long time since the medical abortion, the residual tissue may have become organized, and oral medications will be difficult to excrete. Usually a diagnostic curettage or hysteroscopic electrosurgical resection of residual tissue is required. If there is no residual in the uterine cavity, six hormone tests should be done to see if this phenomenon is caused by abnormal ovarian function. Sometimes, short-acting oral contraceptives are needed to stop bleeding and perform cyclical treatment.

It is usually considered that the symptoms are caused by poor uterine involution or residual matter in the uterine cavity. Therefore, you must go to the hospital's gynecology department for a color Doppler ultrasound to confirm the cause of the lochia, and also check your blood routine to see if there is any infection. If it is caused by residual matter in the uterine cavity, then a uterine curettage surgery must be performed, and anti-inflammatory drugs must be used to prevent infection. If it is caused by poor uterine involution, oxytocin can be used to promote the recovery of uterine contraction.

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