Can I still have a uterine curettage after an incomplete abortion?

If a woman has an incomplete abortion after medical treatment, she will need to go to the hospital for a uterine curettage. Uterine curettage is very harmful to the female body and may cause uterine infertility. However, incomplete abortion may also cause inflammation of the reproductive organs, thereby endangering the woman's life safety. Therefore, medical abortion must be performed with extra caution.

Many people think that medical abortion is cheap, convenient and does not require surgery, so they choose it. However, they do not know that while medical abortion has its advantages, it also has many disadvantages and dangers. It is easy to have an incomplete abortion during medical abortion. So if the abortion is not clean, is it necessary to have a uterine curettage? Does a uterine curettage harm the body?

If the abortion is not complete, bleeding may not stop. If you find that the discharge is incomplete or even no embryonic tissue is discharged, you can try to use drugs to contract the uterus again to expel the remaining tissue. If it still cannot be discharged, you must undergo a uterine curettage to remove the remaining tissue. If the medical abortion is incomplete and the uterus is not cleaned in time, the tissue left in the uterus can easily lead to serious consequences such as heavy bleeding, infection, infertility, etc., which seriously threatens the health of women's uterus. Incomplete medical abortion will not only lead to intrauterine infection, triggering reproductive organ inflammation such as pelvic inflammatory disease and adnexitis, but may also cause fallopian tube inflammation and blockage, leading to serious consequences such as infertility. Therefore, if the medical abortion is not complete, uterine curettage must be performed. Usually, the patient needs to stay in the hospital for observation for 4-6 hours after medical abortion. During this period, regardless of whether the embryonic sac is seen to be expelled or not, if the patient has severe vaginal bleeding, uterine curettage is required immediately to stop the bleeding. A follow-up examination should be conducted after a period of time to observe whether there are any residual embryos in the uterus. If the embryo has died and not been expelled, or the embryo has not died and continues to grow, or there is residual tissue, uterine curettage must be performed. Abortion drugs will affect the hormone levels in the body. The biggest side effect is that it can easily lead to incomplete abortion, requiring another uterine curettage, which can easily induce postoperative infection and lead to secondary infertility. If the abortion is incomplete, the remaining fetal membrane tissue will also affect the implantation of the fertilized egg in the future, leading to infertility. Therefore, everyone must carefully choose medical abortion, and perform uterine cleaning in time if incomplete abortion occurs. Medical abortion is not as safe as painless abortion.

Here are the reasons:

1. Medical abortion has many hidden dangers and is not safe enough. The success rate of medical abortion is low, and incomplete abortion will cause heavy bleeding. Nearly 30% of women suffer from secondary infertility after medical abortion.

2. The success rate of medical abortion is not as good as that of painless abortion. Currently, the success rate of the safest and most reliable Helen painless abortion has reached 100%; the success rate of ordinary painless abortion is also above 90%, and the success rate of medical abortion is only 60%-75%.

3. Medical abortion requires enduring severe pain. Medical abortion relies entirely on autoabsorption and digestion, which can cause severe pain, and the pain is even more severe when the uterus is cleaned. Painless abortion uses safe analgesic anesthetics and advanced monitoring systems, and is painless and has no side effects.

4. Because medical abortion is not safe enough, fewer people are suitable for it. Medical abortion is only suitable for first-time abortion within 49 days of pregnancy. The gestational sac cannot be larger than 2.5cm and it must be an intrauterine pregnancy. There are many contraindications. Currently, the safest painless abortion procedure recognized internationally is the "Helen's abortion procedure". By strictly controlling every link of every process of the painless abortion operation, from the surgeon to the anesthesiologist, from preoperative preparation to postoperative recovery, from the surgical environment to surgical materials, etc., all are high standards, high standards and strict requirements, which greatly reduces the complications and sequelae of the operation and ensures the safety of the operation. At the same time, it also solves the problems of sequelae and complications of traditional abortion and medical abortion.