Medical abortion one month human chorionic blood test 12

Medical abortion one month human chorionic blood test 12

When a person becomes pregnant, the estrogen level in the body will undergo phased changes. At this time, you need to go to the hospital for a check-up to confirm the pregnancy. When some people use a pregnancy test stick one month after medical abortion, they find that the human chorionic gonadotropin is still at 121, which means it is still within the hormone range for pregnancy. In this case, you need to go to the hospital for examination, considering the symptoms of incomplete medical abortion. Let’s take a look at the specific situation.

Do I need to draw blood for follow-up examination after medical abortion?

It is recommended to go to the hospital for a follow-up examination one week after medical abortion to see if there are any residual effects. This is mainly done through blood hCG tests and B-ultrasound examinations. Generally, blood hCG tests do not require fasting, and under normal circumstances, blood tests after medical abortion do not require blood draws. It is generally not necessary to fast for follow-up examination after medical abortion. It is best to hold urine while doing abdominal ultrasound. If you are not used to holding your urine and there is no vaginal bleeding, you can have a vaginal ultrasound. The follow-up examination mainly consists of medical questioning and ultrasound. If there is no abdominal pain and vaginal bleeding, no abnormal vaginal secretions, and the ultrasound examination is normal, it means that the recovery is good and you just need to pay attention to contraception in the future.

Do not take a bath, do vaginal douching, or swim within one month after medical abortion. Regardless of the amount of bleeding after surgery, sexual intercourse is prohibited before menstruation. Because the cervix is ​​in a relaxed state during medical abortion, the effect of tissue bacteria entering the uterine cavity is weakened. At the same time, after the embryonic tissue is peeled off, the blood sinuses are open and easily infected by bacteria.

You should also pay attention to rest and avoid fatigue after medical abortion. You can take blood-activating and blood-stasis-removing drugs such as motherwort paste to promote uterine contraction, expel embryonic tissue, reduce vaginal bleeding, and shorten bleeding time. Anyone who undergoes uterine curettage due to failed medical abortion, incomplete abortion, or heavy bleeding must take antibiotics after the operation. The sanitary napkins and toilet paper used must be qualified products. Change sanitary napkins frequently. Do not wear underwear made of synthetic fabrics. Change and wash underwear every day.

Why does menstruation last after medical abortion?

Medical abortion is abortion by medicine, and the commonly used drug is mifepristone. For the vast majority of pregnant women, there are no adverse reactions after medical abortion. However, a small number of people may experience heavy uterine bleeding, accompanied by paroxysmal distension and pain in the lower abdomen, or the gradual discharge of fragmented embryonic tissue. For some women, vaginal bleeding may last for more than 12-14 days, and some may even last for more than a month.

Regarding this phenomenon, some people performed curettage on 84 patients whose vaginal bleeding lasted for more than 3 weeks after medical abortion or excessive vaginal bleeding, and conducted a pathological study on the contents of the scrapings. The results showed that the reason for prolonged vaginal bleeding after medical abortion was the residual and infected chorionic or trophoblast cells.

Of course, this situation is not common. However, if menstruation continues after medical abortion, it is best to check the concentration of urinary human chorionic gonadotropin in the urine. Depending on the patient's specific situation, the doctor will choose to perform a curettage or oral Chinese medicine to promote blood circulation and remove blood stasis to promote the excretion of residual tissue. At the same time, anti-infection treatment must be carried out to avoid complications of mesometritis.

In addition, during the period of heavy menstruation, although the amount of menstrual flow is not much, sexual intercourse should still be prohibited to avoid difficulty in menstruation and possible complications of urinary and reproductive tract infections, which may affect health.

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