Bleeding after abortion

Some female friends will find that they have vaginal bleeding again after having an abortion. This is very serious. In this case, it is best to pay attention to the care of your body. You can relieve your symptoms by supplementing nutrients, and you must also find a way to stop the bleeding. This way you can avoid excessive blood loss or bacterial infection.

1. Anovulatory uterine bleeding

(1) General treatment: Supplementation of iron, vitamin C and protein. Blood transfusion is required for severe anemia.

(2) Stop bleeding

① Diagnostic curettage: This method is rapid and effective and can also understand endometrial pathology and exclude malignant conditions. It is routinely used for married patients of childbearing age or perimenopausal period with a long course of disease.

②Progestin: also known as "drug-induced curettage", suitable for patients with a certain level of estrogen.

③Estrogen: Only suitable for unmarried adolescent patients and patients with low hemoglobin.

(3) Control the menstrual cycle

① Estrogen-progestin sequential therapy: that is, artificial cycle, suitable for adolescent dysfunctional uterine bleeding or women of childbearing age with dysfunctional uterine bleeding (abbreviated as DUB) and low endogenous estrogen levels.

② Combined use of estrogen and progesterone: Suitable for women of childbearing age with functional uterine bleeding and high endogenous estrogen levels. Compound norethindrone tablets (oral contraceptive No. 1) can be used.

③Second half cycle therapy: suitable for functional uterine bleeding during menopausal transition period.

(4) Promote ovulation: Suitable for adolescent and reproductive age functional uterine bleeding, especially for infertile patients. Clomiphene, urogonadotropin, chorionic gonadotropin, etc. can be used.

2. Ovulatory uterine bleeding

(1) Luteal insufficiency:

① Promote follicle development.

② Luteal function stimulation method.

③Functional replacement therapy.

(2) Irregular endometrial shedding: Treatment with progesterone, chorionic gonadotropin, etc.

(II) Vaginal bleeding due to pregnancy complications

1. Abortion: Threatened abortion should be treated to preserve the pregnancy, with bed rest and daily intramuscular injection of progesterone. If there is increased bleeding and worsening of paroxysmal lower abdominal pain, it means abortion is inevitable. If some tissue is discharged, it is an incomplete abortion and a vacuum extraction should be performed.

2. Ectopic pregnancy: surgery is the main treatment.

3. Hydatidiform mole: Use suction curettage to remove the contents of the uterine cavity and perform preventive chemotherapy if necessary.