Intermittent bleeding after medication abortion

After a medical abortion, the woman's body needs to expel the dead embryo, so bleeding problems will continue for a period of time. But this phenomenon usually stops after two weeks. The body will recover after a period of rest. However, some people have intermittent bleeding problems that do not stop after a period of time. This is probably due to the blood stasis not being completely eliminated. You need to consult a doctor to use medication or perform related treatments to help your body recover.

2. Medical abortion is easy to use, simple to take, does not require curettage, is relatively less painful, and the effect is basically reliable.

3. Medical abortion is suitable for healthy women who are 5 to 7 weeks pregnant and are not suitable for surgical abortion, especially those with scarred uterus, lactating uterus, uterine malformation, and those who have had an abortion within six months or have a history of multiple abortions to terminate early pregnancy.

5 Related hazards

1. Failed abortion

After 8 days of medication, the fetal sac was not expelled, and B-ultrasound examination confirmed that there was still pregnancy in the uterus. In this case, you must go to the hospital for a uterine curettage.

2. Excessive blood loss, life-threatening

Especially when the bleeding is severe and does not stop, if the uterus is not cleaned and blood transfusion is not performed in time, the chance of rescue will be lost and the life may be in danger.

In addition to gastrointestinal reactions such as nausea, vomiting, abdominal pain, and diarrhea, prolonged bleeding and heavy bleeding are the main side effects of medical abortion. Drug treatment is ineffective, and uterine curettage is required when necessary. Medical abortion must be performed in a medical institution with regular rescue conditions. Medical abortion has strong indications. If people who buy the medicine privately do not understand these indications, or if people who are not suitable for medical abortion buy the medicine to have an abortion on their own, it is very dangerous.

6 General Process

1. Strict screening before medication, including asking about medical history, conducting a full physical examination and gynecological examination, and laboratory tests such as urine pregnancy test, vaginal cleanliness, Trichomonas and fungi, blood routine and blood type, and B-ultrasound examination.

2. The doctor explains in detail how to take the medication, the efficacy of the medication and possible side effects. The patient can only use the medication after he or she understands and signs.

3. Monitoring during abortion: During the hospitalization observation period, in addition to paying attention to blood pressure, pulse, and side effects of drugs, all urine and feces must be retained in a clean bedpan, and a dedicated person will check and record the presence of a gestational sac and its excretion time, the size of the gestational sac, and the amount of bleeding. If there is active bleeding before or after the expulsion of the fetal sac, uterotonics can be given or curettage can be performed immediately to stop the bleeding.

4. If the fetal sac has not been expelled and bleeding is not excessive after 6 hours of observation, you can go home and follow up on the date specified by the doctor. If tissue is passed at home, it should be brought to the doctor for examination. If vaginal bleeding is more than normal menstrual flow, go to the hospital for treatment in time.

1. Before medical abortion

(1) Perform an ultrasound examination before medical abortion to rule out ectopic pregnancy and understand the size and location of the embryonic sac to help determine whether medical abortion is appropriate.

(2) Medical abortion must be for women who conceived within 49 days of amenorrhea and are under 40 years old

(3) The patient is in good physical condition and has no contraindications. Contraindications include: past or current severe systemic diseases, liver or kidney dysfunction, allergic constitution, heart disease, hypertension, anemia, asthma, glaucoma, skin itching during pregnancy, etc.

(4) Go to a hospital with emergency treatment, curettage, and blood transfusion facilities for medical abortion, and observe carefully to prevent any accidents;

(5) Strictly following the doctor's instructions and returning for follow-up visits on time are important precautions before medical abortion.

2. After medical abortion

(1) Hygiene and contraception after medical abortion should be taken more seriously.

(2) During medical abortion, retrograde infection is prone to occur due to new trauma to the uterus and vaginal bleeding. Therefore, attention should be paid to local hygiene. Showers should be taken instead of baths in a tub to prevent sewage from entering the vagina and causing infection. No sexual intercourse for one month.

(3) Rest for 1 to 2 weeks after medical abortion and gradually increase activity. Do not engage in heavy physical labor or work in cold water within one month after an abortion to avoid reduced resistance and inducing other diseases.

(4) Observe the bleeding situation. If vaginal bleeding lasts for more than one week after abortion, or is even accompanied by lower abdominal pain, fever, turbid and foul-smelling leucorrhea, etc., you should go to the hospital for diagnosis and treatment in time.