How many days after medical abortion can I have a uterine cleaning?

Medical abortion is a common method of terminating pregnancy. Some women think that abortion surgery has a great impact on their health, so they often use medical abortion. Although medical abortion does not require surgery, it is easy to cause incomplete abortion and may also cause uterine cavity infection. Once it is found that the abortion is not complete, go to the hospital for relevant examinations in time. How many days after the medical abortion can the uterus be cleaned?

How many days after medical abortion can I have my uterus cleaned?

Under normal circumstances, if the abortion is clean, there is no need for uterine curettage. The patient should go to the hospital for an ultrasound examination to see if there is any residual tissue in the uterus that requires uterine curettage. Once it is confirmed that the abortion is not clean, uterine curettage should be performed in time. Once it is confirmed that the miscarriage was not complete, the earlier the uterine cleaning is done, the less harm it will cause to the body. Generally, a follow-up check is done 7-10 days after the miscarriage.

In what cases should a curettage be performed during medical abortion?

After taking the medicine, it was confirmed that the pregnancy tissue was discharged, and the B-ultrasound examination did not show the gestational sac, so it can be diagnosed that the abortion was complete. If high-echo tissue is seen in the uterine cavity during B-ultrasound, it is likely to be detached tissue or blood clot. At this point, we can continue to observe, or use misoprostol tablets again to plug the vagina or anus to promote uterine contraction and discharge residual tissue. However, if no pregnancy tissue is seen to be discharged after taking the medicine, there is vaginal bleeding and lower abdominal pain, and a gestational sac is still visible in the uterine cavity during B-ultrasound examination, then it can be determined that the abortion is incomplete and a uterine curettage is needed as soon as possible to remove any residual embryonic tissue.

How long will it take for menstruation to come after medical abortion?

Normally, the ovaries can resume ovulation function within 22 days after medical abortion, and menstruation will occur within about 1 month to 40 days. However, a small number of women experience menstrual disorders such as prolonged menstruation, irregular cycles, and amenorrhea after taking the medicine. This condition usually returns to normal after 2-3 months, but in a few people it lasts longer.

However, menstruation may be delayed after medical abortion. The main reason is that the decidual tissue cannot be completely discharged after medical abortion, resulting in prolonged bleeding. A considerable number of patients eventually need uterine curettage, which increases the chance of reproductive organ infection and causes menstrual disorders. Because abortion drugs can cause irregular menstruation, menstruation may be advanced or delayed, or even prolonged. In addition, if menstruation continues for one month after medical abortion, infection, residual residue in the uterine cavity and hormonal disorder in the body should be considered.

However, if menstruation is delayed after medical abortion, in addition to the reasons for medical abortion, other causes of amenorrhea should also be considered. If you had menstruation before but then stopped for 3 months or more, it is secondary amenorrhea. Lesions in the uterus, ovaries, pituitary gland, hypothalamus, etc. may cause secondary amenorrhea.