Bleeding 18 days after medical abortion

Medical abortion is a more common method of abortion nowadays. Usually medication is used to cause the gestational sac in the body to be expelled. Generally speaking, it takes less than two weeks for the gestational sac to completely flow out of the body. But some people found that they still had bleeding 18 days after the abortion. This is actually an abnormal phenomenon, indicating that the abortion with the medicine is incomplete, indicating that there are residues in the body, and other methods are needed to deal with this problem.

1 How long does bleeding last after medical abortion?

The bleeding time after the gestational sac is discharged is generally about 7-10 days. If you want to shorten the bleeding time, you can inject oxytocin after the gestational sac is discharged to promote the recovery of uterine contraction and reduce bleeding. Taking motherwort orally can also promote uterine contraction, but the effect is not as good as oxytocin. It is best to avoid washing your hair within a week of bleeding after medical abortion. If you wash your hair after 3 days, try to use ginger water and blow dry immediately after washing. Your body will be weak after a medical abortion. You should pay more attention to rest, avoid cold water, and replenish your nutrition.

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

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

4. 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.

5. 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.

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

3 How long after medical abortion can I have sex?

You cannot have sex, take a sitz bath, or take vaginal medications within one month after an abortion, as the endometrium is shed and the cervix becomes loose after an abortion, which can easily lead to retrograde infection, intrauterine infection, adnexitis, and other pelvic diseases. Abnormal fertilized eggs, endocrine disorders, placental dysfunction, blood type incompatibility, maternal systemic diseases, excessive mental stimulation, reproductive organ malformations and inflammation, trauma, etc. can all lead to threatened abortion. It is recommended to find out the cause and treat it symptomatically first, and then consider conception after half a year. After an artificial abortion, it is best to wait until the next menstruation comes before having sex.

4 Best time for medical abortion

1. After female friends know the best time for medical abortion, they can increase the success rate of abortion. Many female friends think that medical abortion only requires taking medicine, but they ignore the best time for medical abortion. It may directly affect the final effect of medical abortion, and thus face the trouble of secondary abortion (uterine curettage). Medical abortion is only suitable for early intrauterine pregnancy within 49 days. The average diameter of the gestational sac shown by B-ultrasound examination is less than 2.3 cm. 2. The best time to induce abortion with medicine is within 49 days after pregnancy, and avoid exceeding 3 months. If it exceeds 3 months, the fetus will have been formed and developed too large, and induced labor is the only option. The time to pregnancy is not calculated from the time of sexual intercourse. 3. The best time for abortion (artificial abortion) is within 10 weeks of pregnancy. Because the fetus is just beginning to develop and the intrauterine tissue is relatively simple at this time, the abortion surgery will be safer and the recovery after surgery will be faster. When female friends consider how long they should be pregnant before having an abortion, they must also be clear about which type of abortion surgery they want to choose. 4. The patient must be pregnant within 49 days of amenorrhea and must be under 34 years old. 5. An ultrasound examination must be performed before taking the medicine to confirm that the pregnancy is intrauterine. 6. If conditions permit, the patient must rest for at least 3 to 5 days after the abortion. 7. The patient cannot take the medicine continuously. 8. Medical abortion is not allowed if the pregnancy lasts more than 49 days. This is because the gestational sac in the uterus will gradually grow larger as the pregnancy progresses, and as a result, medication alone cannot completely expel the gestational sac from the body. 9. The best time for women to have medical abortion is in the early stages of pregnancy, within 49 days of amenorrhea. If it exceeds 49 days, it is not suitable for medical abortion. The best time for abortion is around 35-45 days, and the latest time for abortion is within 12 weeks. Because the uterus is not too big at this time, there is not too much pregnancy tissue, and the fetus is also small, it is easy to suck out. The surgical abortion time is short, the side effects are mild, and the bleeding is little. 10. Medical abortion is applicable in the early stages of pregnancy (39-49 days from the first day of the last menstrual period). After confirming pregnancy, you can terminate the pregnancy by medical abortion within 49 days. If it is the first abortion, the effect will be better. 11. It usually takes 3-4 days from taking the medicine to abortion.

12. Ultrasound shows intrauterine pregnancy, and the average diameter of the gestational sac is less than 20 mm; 13. The pregnant woman has no diseases of the heart, liver, kidney, reproductive or endocrine system, and has no smoking or drinking habits. Pregnant women with a long pregnancy, a large gestational sac, an older age and multiple pregnancies, a history of artificial abortion or cesarean section within six months, who are in the postpartum lactation period, or who have uterine malformations or uterine fibroids are not suitable for medical abortion.

5 Dangers of medical abortion

1. Cause inflammation: Since the embryonic sac tissue in the uterine cavity can be discharged on the same day after medical abortion, sometimes the pregnancy tissue is not completely discharged, the uterine membrane is not restored well, and the vaginal bleeding time is longer, which can last for 2-3 weeks or even 1-2 months. Long-term chronic blood loss can cause anemia and reduce the body's resistance. At this time, bacteria often travel back through the vagina and cause inflammation of the endometrium. 2. Low success rate: In recent years, there have been many cases of infertility and gynecological inflammation caused by going to the hospital for curettage surgery due to poor abortion results from medical treatment. Mifepristone, which is used for medical abortion, has only been around for a little over a decade, and clinical trials are not sufficient. The success rate is only 75%. 3. Cause infertility: Medical abortion can easily lead to fallopian tube blockage and cervical adhesion, causing infertility; unclean medical abortion and improper uterine curettage can also cause infertility; medical abortion causes excessive damage to the uterus and ovaries, so it is also one of the causes of infertility. 4. Repeated medical abortions, especially within a short period of time, are very harmful: (1) First of all, it is important to understand that the drug RU486 used is a progesterone receptor antagonist, which works by "interfering" with endocrine function; (2) It takes time for the ovaries to recover after "interference", otherwise disorders are inevitable; (3) Bleeding caused by medical abortion is a direct damage to the body; (4) Due to local damage, bleeding, low resistance, etc., it may also cause infection; (5) The drug itself is a hormone. After a complete abortion, cysts may grow in the ovaries, and you need to take Guizhi Fuling Capsules. It needs to be emphasized that many women, especially unmarried women, often have a wrong perception that medical abortion is like menstruation and will not affect their health, so they do not pay attention to taking effective contraceptive measures; once they find out they are pregnant, they ask for medical abortion, and some do it two or three times a year, which will obviously harm their health.

6 Which is less harmful, medical abortion or surgical abortion?

Regardless of the type of abortion, it is an artificial termination of a normal pregnancy, thereby disrupting the body's endocrine balance, causing endocrine disorders, and in severe cases, amenorrhea.

Medical abortion is usually performed within 49 days of amenorrhea, but it can easily cause excessive bleeding, so it must be performed in a regular hospital to ensure the safety of women's lives. The time for painless abortion is within 35-55 days. At this time, the uterus is not too large, and the operation generally does not require cervical dilation, so the impact on the body is relatively small. Comparing the two abortion methods, medical abortion does not require surgery, so there is no possibility of infection during the operation, and the chance of infection after the operation is also relatively small. However, it takes a long time for medical abortion to occur. Prolonged vaginal bleeding provides favorable conditions for bacterial growth. Moreover, the internal os of the cervix is ​​in a relaxed state after medical abortion, which can easily cause bacterial infection and thus cause pelvic inflammatory disease. The most important thing is that the failure rate of medical abortion is relatively high, and after failure, uterine curettage surgery is required, which further harms the body. Painless abortion is relatively safe. With current medical technology, not only will the patient not feel pain during the operation, but the entire operation is performed under visual conditions, which provides favorable conditions for the safety of the operation. Therefore, for women who are diagnosed with an unexpected pregnancy and want to have an abortion, it is best to choose a painless abortion.