Is it necessary to have a uterine curettage if the abortion is incomplete?

Medical abortion is a common method of abortion nowadays. Many people know that medical abortion will cause bleeding, but many people don’t know that if the bleeding time is too long, it indicates abnormality and they should go to the hospital for examination, which results in great harm. So, if medical abortion is incomplete, is it necessary to have a uterine cleaning after the abortion? If the gestational sac is not discharged intact, a uterine curettage should be performed immediately. If the decidua is not completely exfoliated but there is little bleeding, you can take Motherwort Granules or Shenghua Decoction to promote uterine contractions to expel the remaining decidua tissue.

Medical abortion, usually bleeding for 15 days

Generally, bleeding will occur a few days after taking the medicine. This is normal and is a symptom of the test tube embryo tissue being expelled. This type of irregular vaginal bleeding will last for about 1-2 weeks. The actual bleeding time varies from person to person, the amount of bleeding will be less than normal, and the color will be dark red. If the bleeding time of medical abortion exceeds 20 days, you need to go to the hospital for a B-ultrasound examination to confirm whether the gestational sac and tissue have been expelled. If the bleeding after medical abortion exceeds 2 weeks and the bleeding has not subsided, it indicates that the medical abortion may be incomplete. It is recommended that you go to the hospital for relevant examinations as soon as possible. If the diagnosis is that the medical abortion is incomplete, a uterine curettage operation will be required.

Causes of prolonged bleeding and excessive bleeding after medical abortion

Medical abortion is not complete

It is reported that 95% of expectant mothers with vaginal bleeding for more than 3 weeks after medical abortion have incomplete abortion and have decidual tissue or villus residue in the uterine cavity. Because the residual tissue will harden and adhere to the uterus, it will affect the repair of the uterus and increase the bleeding time and bleeding in the vagina.

Medical abortion uterine infection

If B-ultrasound examination shows no residue in the uterus, then the prolonged bleeding after medical abortion may be caused by uterine infection. The bleeding time after medical abortion is long, and the blood is very easy to breed bacteria. The bacteria usually move back from the vagina and then infect the uterus. And uterine infection will aggravate the symptoms of vaginal bleeding and make uterine repair very difficult.

Poor blood clotting

Expectant mothers with poor blood clotting function may experience internal bleeding or prolonged bleeding during medical abortion or surgical abortion. An abortion operation can cause great harm to the human body, especially for young expectant mothers. If the bleeding time after medical abortion is too long, you should see a doctor in time and choose the best treatment method, which is the best choice to relieve the pain and discomfort of the body. In the first ten days of medical abortion, rest as much as possible, eat some light dishes, avoid eating irritating foods, pay attention to rest, protect your body, and avoid complications.