What should I do if there is still bleeding 24 days after the abortion?

Generally, there will be no bleeding 24 days after medical abortion. If bleeding still occurs 24 days later, it may be caused by incomplete abortion. It is best for women to choose uterine cleaning to promote the discharge of residual gestational sac. Long-term bleeding is caused by incomplete decidua shedding. Women can promote uterine contraction and discharge residual tissue by injecting oxytocin. At the same time, pay attention to the precautions after medical abortion.

Since there are many reasons for prolonged medical bleeding, different measures should be taken according to different situations.

If the bleeding time after medical abortion is long due to incomplete expulsion of the gestational sac, resulting in incomplete abortion, you need to go to the hospital for a urine pregnancy test and B-ultrasound examination. If it is confirmed to be an incomplete abortion, you should undergo a uterine curettage. Generally, vaginal bleeding will stop within 10 days after the operation.

If the long bleeding time is caused by incomplete decidual exfoliation, but the amount of bleeding is not much, you can take motherwort or Chinese medicine Shenghua Tang, or inject oxytocin to promote uterine contraction to expel the remaining decidual tissue. If the amount of bleeding is more than the usual menstrual volume, the patient generally needs to go to the hospital for a uterine curettage.

It is worth noting that after a medical abortion, the amount of bleeding may suddenly increase significantly, even several times the normal menstrual volume, and may be accompanied by large blood clots. This is caused by the exfoliation and poor discharge of embryonic tissue. At this time, you should go to the hospital immediately for a uterine curettage to stop the bleeding.

Precautions after medical abortion

After having a medical abortion, women must pay attention to regulating their bodies, otherwise they may develop chronic illnesses. In addition to conditioning the body, there are many things to pay attention to after medical abortion. Let's briefly introduce them below!

1. After medical abortion, no matter how much bleeding occurs, sexual intercourse is prohibited before menstruation. Because the cervix is ​​in a relaxed state during medical abortion, if you have sex at this time, it is easy to be infected by bacteria, causing continuous bleeding or gynecological diseases such as pelvic inflammatory disease.

2. You cannot take a bath, flush the vagina, or swim within one month after medical abortion, otherwise you may be easily infected by bacteria.

3. After medical abortion, if vaginal bleeding lasts for more than 7 days, you should take antibiotics under the guidance of a doctor to prevent bacterial infection; if bleeding continues for more than 2 weeks, you should go to the hospital as soon as possible to find out the cause, and a uterine curettage may be required if necessary.

4. After medical abortion, you should pay attention to rest and avoid excessive fatigue. You can take some blood-activating and blood-stasis-removing drugs such as motherwort paste to promote uterine contraction, facilitate the expulsion of embryonic tissue, reduce vaginal bleeding, and shorten the bleeding time.

5. After medical abortion, you should pay attention to diet adjustment. The diet should be light. You can eat more foods rich in high-quality protein, such as lean meat, fish and other foods to enhance your physical fitness. Be careful not to eat too greasy food to prevent it from nourishing the stomach.