What is medical abortion plus uterine curettage?

The arrival of a child is a joyful thing, but if the child comes at the wrong time, it will be a trouble for many women. Many women will choose to give up the child. As for abortion, many women now choose medical abortion. We often hear about medical abortion, but some people also say that uterine cleaning is still required after medical abortion. What's going on? Let’s take a look.

It is not necessary to perform uterine curettage after medical abortion, but it must be performed in the following situations:

1. Patients usually need to stay in the hospital for 4-6 hours after taking the medicine. During the observation period, regardless of whether the embryonic sac is seen to be expelled or not, as long as the patient has severe vaginal bleeding, uterine curettage should be performed immediately to stop the bleeding.

2. The amount of vaginal bleeding after medical abortion is less. You should go to the hospital for an ultrasound examination one week later to confirm the condition of the embryo. If the embryo is not dead and continues to grow, curettage can terminate the pregnancy; if the embryo is dead but not expelled (embryo arrest): curettage can remove the pregnancy products in the uterine cavity and prevent bleeding and infection.

3. After medical abortion, although the embryonic sac is seen to be discharged, the vaginal bleeding is not clean, or it is sometimes more, sometimes less, sometimes not, and sometimes not for more than three weeks. Ultrasound examination shows residual tissue, and the uterus needs to be cleaned so that the endometrium can gradually repair. It should be noted that since the long-term presence of pregnancy residues can cause intrauterine infection, leading to endometritis, myometritis or adnexitis, antibiotics must be used before and after curettage to prevent or treat infection.

From the above detailed introduction, we can see that medical abortion is not a simple matter. If the abortion is not clean, uterine curettage is also required. In fact, we still need to consider the matter of medical abortion more and never regret it later.