Black blood still remains after 14 days of medical abortion

Medical abortion is a method of abortion with a relatively high safety factor. It is relatively gentle and causes less damage to the uterus. When the gestational sac is not yet fully developed, medical abortion is the safest and most convenient method of abortion. Some women find that they are still discharging black blood 14 days after the abortion. If the bleeding is heavy and very irregular, you should go to the hospital for a check-up as soon as possible. So, why is there still black blood 14 days after the abortion?

How long is normal bleeding after medical abortion?

Medical abortion refers to the act of achieving an abortion in the early stages of pregnancy without the need for surgery, simply by taking an injection or medication. Currently, the commonly used drugs are mifepristone tablets + misoprostol combined use. The former can cause degeneration and necrosis of the uterine decidua and soften the cervix, while the latter can excite the uterus, cause uterine contraction, and promote the expulsion of the embryo. Generally speaking, after medical abortion, decidual tissue will be discharged, which is less than the usual menstrual volume and is dark red. So, how long is the bleeding after medical abortion considered normal?

Generally speaking, there will be irregular vaginal bleeding for about 15 days after medical abortion, and the specific bleeding time varies from person to person. However, if the bleeding has not stopped for more than 2 weeks after medical abortion, and the amount of bleeding has not decreased, this may be caused by incomplete expulsion of the gestational sac, leading to incomplete abortion. You should go to a regular hospital for examination immediately. If it is confirmed to be an incomplete abortion, a uterine curettage will be required.

In addition, women whose uterus is infected or whose blood coagulation function is poor after medical abortion may also experience prolonged bleeding.

Uterine infection after medical abortion: If the B-ultrasound shows that there is no residue in the uterus, then long-term bleeding after medical abortion may be caused by uterine infection. Because blood is one of the best substances for cultivating bacteria, and the bleeding time after medical abortion is long, if not properly cared for, uterine infection will occur, causing prolonged bleeding.

Poor blood coagulation function: Women with poor blood coagulation function will experience heavy bleeding or prolonged bleeding during medical abortion or surgical abortion.

How long should I rest after abortion?

After a medical abortion, doctors generally recommend that women rest for a period of time to allow their bodies to recover. Generally, the leave time after surgical abortion is 2 weeks. The leave time after medical abortion is the same. It is best to rest for two weeks after medical abortion. There is generally a 7-14 day bleeding period after medical abortion, but sometimes it may be earlier or later. If the bleeding time is longer or the amount of bleeding is heavier, and if symptoms such as abdominal pain occur, it is highly likely that the medical abortion is incomplete. You need to go to the hospital in time for a clear diagnosis and take appropriate treatment measures. The above is the relevant introduction. At the same time, I would like to remind everyone that during the medical abortion period, you should carefully observe whether there are any signs of incomplete abortion such as prolonged bleeding, abdominal pain, etc. If so, go to the hospital immediately for uterine curettage.

Generally speaking, many people rest for 3-5 days after medical abortion. Of course, this time is closely related to personal constitution and varies from person to person. If a woman takes proper care after a medical abortion, her body will recover quickly and the time she needs to rest and recuperate will be relatively less. Therefore, care after medical abortion is very important. Women who have undergone medical abortion should pay more attention to rest even if they are busy at work.

Precautions after medical abortion

After a medical abortion, women should pay attention to the care of their bodies and be careful about small details in their daily lives and bodies to avoid infection and discomfort. Let’s take a look at the precautions after medical abortion.

1. After the tissue is discharged, you need to stay in the hospital for observation for 1 hour. If the vaginal bleeding is not too much, you can go home and rest.

2. Patients with no tissue discharge should be observed for 2 weeks after taking the medicine, and attention should be paid to whether there is any tissue discharge during defecation and urination. Weekly urine pregnancy tests.

3. In the first 2 to 3 days after abortion, the amount of vaginal bleeding is generally equivalent to or slightly more than the menstrual amount. If the amount of vaginal bleeding is heavy or persistent, seek medical attention promptly.

4. Pay attention to the cleanliness of the perineum. Do not take a bath or have sexual intercourse when vaginal bleeding has not stopped.

5. Some people may encounter the situation where the abortion is not clear after medical abortion. At this time, the residual fetal membrane tissue will cause hemorrhage, and they must be admitted to the hospital immediately for curettage and cleaning.

6. Get adequate rest within 2 weeks after miscarriage, eat nutritious food, and avoid heavy physical labor.

7. Ovulation may resume soon after miscarriage, so contraceptive measures should be taken to avoid pregnancy again.