Failed medical abortion with more residues

Medical abortion carries a great risk because the gestational sac and blood clots in the body are not completely eliminated. This situation is often called medication insufficiency. Some people have failed in abortions using medication and have a lot of residues in their bodies. When this happens, many people don't know what to do. In this case, you should undergo a uterine curettage to prevent the residue from causing other harm to your body. Below is an explanation of the uterine curettage surgery. I hope this can help everyone.

What should I do if the ultrasound shows residual blood after medical abortion?

If the examination shows a large amount of residue, a second curettage is still required to remove it. If it is not removed, infection may have a greater impact in the future. If there are too many residues, the endometrium cannot recover completely, and there will be repeated bleeding, and there will be no normal menstruation. So this possibility is extremely small. Exercise does not help the expulsion of embryonic tissue.

Therefore, it is not better to do curettage in time. It is impossible to predict whether another uterine cleaning will affect future pregnancy, because pregnancy is a complicated process that requires the right time, place and people, and it cannot be determined by a single factor. If the residue cannot be discharged, there is no other choice except to do a uterine curettage, so don’t think about the future, just figure it out now. If you can get pregnant in the future, it means that this uterine curettage has no impact.

Therefore, you should avoid sexual intercourse for 4 weeks after uterine curettage. Be careful about contraception after this. In terms of diet, you should eat a light and nutritious diet, and it is best not to eat spicy food for the time being. Do not eat raw, cold foods. Women should eat more foods rich in protein, vitamins and iron. Do not wash the basin, do vaginal douching, or swim within one month after medical abortion. The sanitary napkins and toilet paper used must be qualified products, sanitary napkins should be changed frequently, and underwear made of chemical fiber fabrics should not be worn. Underwear should be changed and washed every day.

What is the method of taking medicine for medical abortion?

Regarding the method of taking medicine for medical abortion, obstetricians and gynecologists pointed out that there are two main types of drugs used for medical abortion, one of which is anti-progestin. The other is to enhance the contraction of the uterine muscles. The most commonly used one at present is the first type, namely mifepristone. This drug is a pure anti-progestin that can bind to the progesterone receptor and has a strong affinity for endometrial progesterone, thereby producing a strong anti-progestin and having an abortion effect. Day 1: Take mifepristone 50 mg on an empty stomach in the morning (taken in the hospital), and take mifepristone 25 mg 2 hours after dinner that evening. The next day: Take 25 mg of mifepristone 2 hours after breakfast and dinner. Day 3: Take 25 mg of mifepristone on an empty stomach at 6:00 in the morning and do not eat. Come to the hospital at 8:00, then take 60 ug of prostaglandin and stay in the hospital for observation for 6 hours. After taking the medicine, some women experience mild nausea, vomiting, dizziness, fatigue, lower abdominal pain, diarrhea, bleeding and other symptoms. Those with severe reactions should return for a checkup at any time.

Bleeding after medical abortion usually lasts for 1-3 weeks, and the overall symptom is that the bleeding becomes less and less day by day. It is abnormal if the bleeding decreases and then increases, or does not decrease at all or gradually increases. After about 2 to 3 days, the embryonic sac in the uterine cavity will be discharged. At this time, there will be more vaginal bleeding, and there may be reactions such as dizziness, nausea, vomiting, fatigue, and abdominal pain. The decidual tissue in the uterus often takes about 2 weeks to be slowly discharged, and then the bleeding stops. This is a symptom of a complete medical abortion.