Under what circumstances is uterine curettage necessary after medical abortion?

Most women who have an unexpected pregnancy will choose to terminate the pregnancy by surgical or medical abortion. Some people are afraid of surgery and usually choose to terminate the pregnancy by medical abortion. Although medical abortion can avoid the sequelae of surgery, it is easy to cause incomplete abortion. Incomplete abortion requires uterine curettage, which is very harmful to the human body. So under what circumstances should uterine curettage be performed for medical abortion?

Under what circumstances does medical abortion require uterine curettage?

1. There are residual embryonic tissues in the uterine cavity: After medical abortion, if the embryonic sac is not expelled, or if these residues are found after examination, then a uterine curettage operation is required.

2. Severe bleeding after medical abortion: After medical abortion, you need to be observed in the hospital. Once you find that a female friend has persistent vaginal bleeding, regardless of whether the embryo has come out or not, we need to perform a uterine cleaning. I would like to warn all female compatriots here that after a medical abortion, everyone must observe the situation carefully and never take any medicine on their own.

3. Less bleeding: If the amount of bleeding after medical abortion is less, it may be that the medical abortion has failed and the embryo continues to grow, or it may be that the embryo has died but has not been expelled. In both cases, we actually need to perform a uterine curettage. Therefore, female friends should go to the hospital for a check-up about a week after the abortion to avoid infection due to failed abortion.

4. Long bleeding time: Long bleeding time has always been a disadvantage of medical abortion, and it usually lasts about three days. If vaginal bleeding lasts for three weeks or more, regardless of whether the embryo has been discharged or not, you should go to the hospital for examination. If any residue is found, uterine curettage must be performed.

Medical abortion has actually caused some damage to the uterus of female friends. If there is residual tissue, then during the process of uterine cleaning, we are actually causing secondary damage to the female uterus. Therefore, more female friends tend to choose artificial abortion.

Under what circumstances is it not necessary to have a uterine curettage after medical abortion?

If your abortion is clean after medical treatment, you do not need to undergo a uterine curettage. However, if it is not clean, you need to undergo a uterine curettage. It is recommended to go to the hospital about a week after the abortion to see how it goes. If it is not clean, it is better to undergo a uterine curettage in time. This can cause great harm to the female's lower body, and you need to pay attention to getting more rest after the uterine curettage, and avoid eating irritating foods recently.

Medical abortion also has certain limitations and side effects, so it is not as simple as going to the pharmacy to buy a few pills and taking them. Medical abortion must be done in a regular hospital, and you must pay attention to physical conditioning and care after medical abortion. During the nursing process, you should pay attention to some matters to avoid physical infection and discomfort. Let’s take a look at the precautions after medical abortion.

1. After the tissue is discharged, you need to stay in the hospital for observation for 1 hour. If the vaginal bleeding is not too much, you can go home and rest.

2. Get adequate rest within 2 weeks after miscarriage, eat nutritious food, and avoid heavy physical labor.

3. Pay attention to the cleanliness of the perineum. Do not take a bath or have sexual intercourse when vaginal bleeding has not stopped.

4. In the first 2 to 3 days after abortion, the amount of vaginal bleeding is generally equivalent to or slightly more than the menstrual amount. If the amount of vaginal bleeding is heavy or persistent, seek medical attention promptly.

5. Patients with no tissue discharge should be observed for 2 weeks after taking the medicine, and attention should be paid to whether there is any tissue discharge during defecation and urination. Weekly urine pregnancy tests.

6. Some people may encounter the situation where the abortion is not clear after medical abortion. At this time, the residual fetal membrane tissue will cause hemorrhage, and they must be admitted to the hospital immediately for curettage and cleaning.

7. Ovulation may resume soon after miscarriage, so contraceptive measures should be taken to avoid pregnancy again.