What should I do if the gestational sac has not been discharged on the third day of medical abortion?

Many women undergo medical abortion in the early stages of pregnancy because it is a relatively fast process that can expel the gestational sac and other substances in the uterus in a short period of time, thereby achieving the effect of abortion. Generally speaking, the gestational sac will be discharged from the vagina after medical abortion, but for some women, the gestational sac has not been discharged from the body on the third day of medical abortion, which means that the medical abortion is unsuccessful and they need to go to the hospital for uterine cleaning in time. So, what should I do if the gestational sac has not been expelled on the third day after medical abortion?

If it has been three days and the gestational sac has not been expelled, there is a high possibility that the medical abortion has failed. In your case, you can go to the hospital for further B-ultrasound examination. If the gestational sac is still there, you will need a uterine curettage.

What is uterine curettage?

Many women should have heard of uterine curettage. When many women want to have an abortion, the doctor will also ask them to undergo uterine curettage. So, what is uterine curettage? In fact, uterine curettage is what we often call curettage. Curettage is the earliest method of artificial abortion and it is also the most commonly used method of artificial abortion. Generally speaking, uterine curettage is divided into diagnostic curettage and therapeutic curettage.

Curettage means that medical abortion is not completely complete and the remaining embryonic tissue in the uterus needs to be cleaned out mechanically.

Is it necessary to do uterine curettage if you have medical abortion?

The answer is: not every patient who has a medical abortion needs uterine curettage, but those who have failed medical abortion, ① patients usually need to stay in the hospital for observation for 4-6 hours after taking the medicine. During the observation period, regardless of whether the embryonic sac is seen to be expelled or not, as long as the patient has severe vaginal bleeding, uterine curettage should be performed immediately to stop the bleeding.

② The amount of vaginal bleeding after medical abortion is less. You should go to the hospital for an ultrasound examination one week later to confirm the condition of the embryo. If the embryo is not dead and continues to grow, curettage can terminate the pregnancy; if the embryo is dead but not expelled (embryo arrest): curettage can remove the pregnancy products in the uterine cavity and prevent bleeding and infection.

② After medical abortion, although the embryonic sac is seen to be discharged, the vaginal bleeding is not clean, or it is sometimes more, sometimes less, sometimes not, and sometimes not for more than three weeks. B-ultrasound examination shows residual tissue, and the uterus needs to be cleaned so that the endometrium can gradually repair.

It should be noted that since the long-term presence of pregnancy residues can cause intrauterine infection, leading to endometritis, myometritis or adnexitis, antibiotics must be used before and after curettage to prevent or treat infection.

Can I get pregnant one month after uterine curettage?

The couple is prohibited from having sexual intercourse for at least one month after the uterine curettage. They can have sexual intercourse after one month, but doctors recommend that it is better to wait six months to a year before getting pregnant. During this period, the couple should take contraceptive measures to prevent accidental pregnancy.

This is because: because the ovaries will resume ovulation about 22 days after the curettage, therefore, if you have sex one month after the curettage, the chance of pregnancy is quite high.

Pregnancy causes great changes to a woman's reproductive system and even all systems in her body. Once the pregnancy is abruptly ended, all systems in the body will undergo drastic changes. Coupled with blood loss and damage to the endometrium, it will take some time for the body to return to a non-pregnant state.

If you become pregnant again soon after an abortion, the fertilized egg may implant again in the endometrium that has not yet recovered, making spontaneous abortion more likely to occur. Repeated miscarriage not only affects women's health, but also increases the difficulty of treatment.

After the curettage, contraception for more than half a year can allow the body to be fully recovered. The human body and reproductive organs can get adequate rest, conditioning and functional recovery. Normal functions in all aspects are beneficial to conception, maternal and child health, as well as eugenics, eugenics and good parenting. But if the first abortion was due to abnormal fertilized eggs or illness, then the longer the interval between the two pregnancies, the lower the chance of abnormalities occurring again.

Can I have sex during early pregnancy?

In the early stages of pregnancy, women have lower demands on and lower sexual responses to sexual intercourse due to endocrine changes, severe early pregnancy reactions, and concerns about the health of the embryo. Forcing themselves to have sex often causes discomfort.

Moreover, in the first three months of pregnancy, on the one hand, the placenta has not yet matured and the connection between the placenta and the uterine wall is not tight. On the other hand, the secretion of progesterone is insufficient and the embryo cannot be given strong protection. Having sex at this time may cause miscarriage. Therefore, it is best not to have sex in the early stages of pregnancy.

If a pregnant woman experiences abdominal pain after having sex in the early stages of pregnancy, she should stop having sex immediately and observe the woman's condition carefully. If the pain persists, she should be sent to the hospital for examination and treatment immediately.

Generally speaking, dull abdominal pain is a common phenomenon in early pregnancy. There are many reasons for abdominal pain, some of which are normal phenomena of pregnancy, while others represent serious diseases. In the early stages of pregnancy, the location of abdominal pain is not fixed. Sometimes it is in the lower left abdomen, sometimes in the lower right abdomen, and the pain lasts for a very short time.

After a doctor's examination to determine if there are other abnormalities, this type of abdominal pain usually does not require special treatment. This type of abdominal pain is often caused by the uterus becoming larger due to pregnancy and its ligaments being stretched.

When is uterine curettage necessary?

1. Incomplete abortion

Women usually need to stay in the hospital for 4-6 hours after taking abortion pills. During the observation period, regardless of whether the embryonic sac is seen to be expelled or not, as long as the patient has severe vaginal bleeding, uterine curettage should be performed immediately to stop the bleeding. After medical abortion, even if the embryonic sac is seen to be discharged, vaginal bleeding may be continuous, or may be more or less, or absent, for more than three weeks. B-ultrasound examination shows residual tissue, and uterine cleaning is required so that the endometrium can gradually repair itself.

2. Failure of medical abortion

The amount of vaginal bleeding after medical abortion is less. You should go to the hospital for an ultrasound examination one week later to confirm the condition of the embryo. If the embryo is not dead and continues to grow, a uterine curettage can terminate the pregnancy. If the embryo has died and not been expelled (the embryo has stopped developing), a uterine curettage is needed to remove the pregnancy products in the uterine cavity and prevent bleeding and infection.

3. Improper abortion

If a woman chooses an informal hospital or small clinic, abortion accidents may occur due to poor surgeon skills or poor medical equipment. If the abortion is incomplete, a uterine curettage operation will be required.

4. Hydatidiform mole

Hydatidiform mole refers to the situation in which the trophoblastic cells of the placenta villi proliferate after pregnancy, the interstitial tissue becomes highly edematous, and blisters of varying sizes are formed. The blisters are connected in clusters and shaped like grapes. In this case, a uterine curettage is also required.

Conclusion: Through the above article, have we gained a certain understanding of the relevant knowledge of uterine curettage? We hope that the knowledge of uterine curettage introduced above can help us have a certain understanding of uterine curettage and avoid falling into misunderstandings.