How to judge whether the palace is clean

Among women who have undergone abortion, the most worrying issue is whether there will be any residue left after the abortion and whether they will need to undergo a medical abortion followed by a uterine curettage to solve the problem. Whether it is medical abortion or surgical treatment for uterine cleaning after medical abortion, there is often a possibility of residual material in the uterine cavity. So how do you judge whether the abortion is clean?

1. First observe the appearance of the miscarriage discharge. Experienced doctors will judge whether the abortion is successful and whether the fetal sac has been completely expelled based on the shape of the discharge. Therefore, after medical abortion, it is best to store the excretion well, wash it with cold water, take a photo and send it to the doctor to help identify it.

Even if the blood is clear after medical abortion and uterine cleaning, it is best to go to the hospital for a B-ultrasound to determine whether there is any residue in the uterus. Otherwise, there may be internal bleeding, long-term bleeding causing anemia, and residue flowing in the uterine cavity. If the residue is very small, you can continue to observe or use drugs to expel it. If the residue is too large, you can perform a second medical abortion and then uterine curettage.

2. It can be analyzed and judged based on the number of days of bleeding. Generally, the bleeding time after medical abortion will be longer, but it is best not to exceed 12 days. The bleeding time for surgical treatment of miscarriage should be shorter, preferably not more than 7 days. If the bleeding time is long, more than half a month, and there are dark brown blood clots, or even a foul odor, it is necessary to consider that the miscarriage is not clean and there is a possibility of infection.

3. Color Doppler ultrasound examination can determine whether the miscarriage is unclean. Through color Doppler ultrasound examination, check the echo inside the uterus and the shape of the uterine wall to see if there is strong echo or uterine cavity separation. The strong echo is the residual decidua-like substance. If it is not removed, it may become dehydrated and thickened over time, causing the uterine wall to fall off poorly and bleed profusely. Intrauterine separation is usually caused by blood accumulation in the uterine cavity. Color Doppler ultrasound examination can be done one to ten days after the abortion, and the doctor will take treatment measures based on the results of the examination.