Is it normal to bleed 18 days after an abortion?

After an abortion, lochia will gradually be discharged and will basically be discharged in about a week. At this time, the bleeding will gradually disappear. If bleeding still occurs 18 days after the abortion, this is abnormal and you should go to the hospital for examination in time, because this situation is likely to cause infection. This infection may be related to the abortion surgery or improper postoperative care. Let's take a look at this aspect.

Is it normal to bleed 18 days after an abortion?

According to regulations, you should go to the medical abortion unit for a follow-up visit two weeks after the gestational sac is expelled. If the bleeding has not stopped at this time, urine pregnancy and delivery tests and B-ultrasound examinations are needed. Those diagnosed with incomplete abortion should undergo a curettage. Vaginal bleeding will stop within 10 days after the operation. If the bleeding does not stop due to incomplete decidual exfoliation, but the bleeding is not much when you see the doctor, you can take motherwort paste or Chinese medicine Shenghua Tang, or you can inject oxytocin intramuscularly to promote uterine contraction to expel the remaining decidual tissue. Patients whose bleeding exceeds their menstrual volume generally require uterine curettage.

Vaginal bleeding after medical abortion often occurs intermittently. Patients should not think that they can swim or have sexual intercourse just because there is no vaginal bleeding. This is wrong. Whether it is medical abortion or artificial abortion surgery, swimming and sexual intercourse should be performed after a menstrual period. Otherwise, it may lead to pelvic inflammatory disease.

Who can't have a medical abortion?

Usually, pregnancy within 42 days of amenorrhea is called early pregnancy. Medical abortion refers to the use of drugs to prevent early pregnancy, also known as inducing menstruation to stop pregnancy, that is, abortion if pregnant and inducing menstruation if not pregnant.

No surgery required, less pain. After contraceptive failure, women hope to choose an abortion method with good effects and few side effects. Medical abortion without surgery is often their first choice. The drug currently used in clinical practice is the domestically produced mifepristone, which is a progesterone antagonist. When used in combination with prostaglandins, it can increase the success rate of abortion to about 90%.

Medical abortion is not without risk and has strict indications and contraindications. Generally, women who have a positive urine pregnancy test within 49 days of amenorrhea and wish to terminate their pregnancy must undergo an ultrasound examination before using medical abortion. Only after confirming that it is an intrauterine pregnancy and understanding the location and size of the gestational sac can they decide whether to have a medical abortion. If the gestational sac is in the cornu de uterus or close to the cervix, medical abortion is not possible, as heavy bleeding may occur, which is life-threatening.

Some women also cannot choose medical abortion. If you are too young (less than 20 years old) or too old (more than 40 years old); have severe menstrual irregularities; have heart disease, hepatitis, endocrine diseases, blood system diseases, gastrointestinal ulcers, asthma and glaucoma; have ovarian cysts and gynecological tumors; are pregnant with an IUD; have a history of failed medical abortion or prolonged vaginal bleeding after medical abortion, etc., you cannot choose medical abortion.