What happens if the uterus is not cleaned thoroughly after induced abortion?

Some people may need induced labor because they do not have the ability to raise children at present, or because the child is found to be unhealthy during examination. At this time, uterine curettage is also required. When talking about the Qing Palace, people may be more worried that it will bring certain harm to their physical health. The Qing Palace will inevitably bring certain harm to the body, but under normal circumstances, as long as people have a good rest, the body can recover as soon as possible. However, sometimes the uterus may not be cleaned thoroughly, which is quite serious. What will happen if the uterus is not cleaned thoroughly after induced abortion?

1 What should I do if the curettage is not clean?

A second curettage is performed after the diagnosis of incomplete curettage.

Curettage can be used to stop bleeding and help diagnose infections, cancer, infertility and other diseases. Normally, once the patient feels well enough (usually the same day), they can resume normal activities. Vaginal bleeding, lower abdominal cramps and back pain may occur after the operation and last for several days. Painkillers can be taken to relieve the pain. Due to trauma to the endometrium after curettage, vaginal bleeding will occur within two weeks after the operation. Generally, the amount of blood is less than or similar to the menstrual amount, which is normal. If the operation is not performed completely, a small amount of fetal tissue will remain in the uterus, which may affect uterine contractions and cause continuous bleeding or cause adhesions, infections, etc. It is best to perform another careful surgery to remove the remaining tissue. Abnormal position or shape of the uterus is generally more likely to cause this sequelae. Therefore, if the curettage is not clean, a second curettage should be performed after confirmation.

2 Symptoms of unclean curettage

1. Nausea and aversion to greasy substances: Other typical symptoms of incomplete abortion are nausea, aversion to greasy substances, lower abdominal pain, and persistent vaginal bleeding.

2. Itching caused by infection: This is one of the symptoms of incomplete abortion. If the B-ultrasound shows that there is no residue in the uterus, then intrauterine infection should be considered, because the blood after abortion is a good breeding ground for bacteria. If the symptoms of an incomplete abortion are very serious, then during a gynecological examination, the uterus will be tender and there will be symptoms such as fever.

3. Prolonged bleeding time: If the abortion is not done cleanly, the symptoms usually include lower abdominal pain and continuous vaginal bleeding. The bleeding time after medical abortion is 1-3 weeks, and the amount of bleeding gradually decreases. If the bleeding decreases and then increases again, or does not decrease at all, or gradually increases, these are symptoms that the abortion was not complete.

3 The harm of unclean curettage

1. If it is not clean, it must be cleaned. If you don't clear it now, the bleeding will not stop. If the bleeding stops, it means the bleeding is complete.

2. Over time, it may cause coagulation dysfunction and lead to severe bleeding, so it is advisable to actively treat it after diagnosis.

3. It is caused by the secretion of yolk, and no treatment is needed.

5. Stimulation that causes inflammation and pelvic congestion

4 Precautions for secondary curettage

1. Maintain a regular life: Even if the abortion operation is successful, if the life after the operation is irregular, it will aggravate bleeding or leave sequelae. After surgery, you can rest in the hospital for a day or go home. In the next few days, you will have to go to the hospital for observation and treatment, and ensure adequate rest.

2. Clothing should be loose and not too tight.

3. During this period, do not drink alcohol and do not take a bath without a doctor's permission, as bathing can sometimes cause infection.

4. Pay special attention to hygiene after the operation, change your underwear frequently, clean your vulva every day, and change them frequently. No sexual intercourse within 4 weeks. After resuming your life, you should adhere to contraception.

5. To ensure the health of the mother, do not get pregnant immediately after the operation, because the uterus is damaged during the operation and pregnancy at this time is very dangerous. Therefore, safe contraceptive measures must be taken.

Generally, a follow-up examination should be conducted one month after the operation. Contraceptive measures should be taken during sexual intercourse. If excessive bleeding or infection occurs, active treatment should be sought. Pay attention to the hygiene of the vulva and refrain from sexual intercourse within one month after induced abortion. Depending on the course of induced labor, uterine contraction drugs and antibiotics may be used as appropriate to promote uterine involution, reduce bleeding and prevent infection. Pay attention to uterine contractions, bleeding, fever, etc.

5 Reasons for not having menstruation after curettage

Some women used to have normal menstruation, but after having an abortion, they no longer have menstruation. This phenomenon is called secondary amenorrhea after abortion. Why does this happen? This is because:

(1) Having sex or taking a bath too soon after surgery. Some women have sex with their husbands a few days after surgery; or they ignore the doctor's advice and take a tub bath, causing bacteria to invade the vagina and uterus, resulting in uterine cavity infection, irregular menstruation and even amenorrhea.

(2) Excessive mental stress and anxiety. Fear before surgery, fear of abortion or mental burden caused by inability to conceive or give birth, especially the shame of getting pregnant before marriage. If this emotion fails to change after surgery, it can lead to amenorrhea.

(3) Individual differences. Everyone's body is different. Some women's endocrine system changes after an abortion, and the level of chorionic gonadotropin drops suddenly, causing the ovaries to be unable to respond to the gonadotropin from the anterior pituitary gland, resulting in the endometrium being unable to change according to the cycle and amenorrhea.

(4) Frequent artificial abortions. Some women have several abortions in a year, and their endometrium is scraped thin and cannot recover in a short period of time. If the basal layer of the endometrium is completely damaged, it can lead to permanent amenorrhea, while partial damage can cause temporary amenorrhea. 6 Health Tips: The cervix has not closed yet after curettage, and the endometrium also has a repair process. During this period, special attention should be paid to keeping the vulva clean and hygienic. Do not take a bath in a tub within half a month after the operation to prevent unclean water from entering the vagina, leading to bacterial invasion and infection. Avoid sexual intercourse within one month after curettage.