Do I need to have a uterine curettage after medical abortion? What are the situations in which a uterine curettage

Many women experience excessive vaginal bleeding after medical abortion. This is a complication of unclean medical abortion and requires timely uterine curettage. Therefore, women who want to have an abortion due to an unexpected pregnancy must make a careful choice and choose a regular hospital.

1. Medical abortion is not a panacea, and bleeding after medical abortion has always been a problem that needs to be solved. Data from our country show that the average bleeding time after medical abortion is 15-18 days. The main cause of bleeding is the residue of decidua and chorionic tissue in the uterus. Therefore, after medical abortion, if there is heavy vaginal bleeding or bleeding does not stop, the residues in the uterus that have not been completely discharged should be scraped out in time to stop the bleeding. According to statistics, the complete abortion rate of medical abortion (i.e. complete expulsion of the products of conception) is around 90%, and about 10% of patients need uterine curettage; 3% of patients require emergency uterine curettage to stop bleeding due to incomplete expulsion of the products of conception after medical abortion, and 0.1% of patients require blood transfusions. Therefore, it is emphasized that medical abortion must be performed in a hospital with emergency equipment (such as emergency curettage, infusion, and blood transfusion), and the drugs must be used under the guidance and supervision of a doctor who has been trained and passed the assessment and holds a "Medical Qualification Certificate". Pregnant women must not take the drugs home and take them on their own.

2. The curettage after medical abortion is different from the artificial abortion at the beginning, which is manifested in the following two aspects: First, the mifepristone and prostaglandin (mifeprostenol) taken in medical abortion can make the cervix easier to dilate and make the embryonic sac implanted in the uterine wall looser. Therefore, uterine curettage after medical abortion is easier to perform than artificial abortion at the beginning. Second, for those high-risk pregnant women who are contraindicated for artificial abortion, such as those with malformed uterus, recent cesarean section, cervical dysplasia, or a tough cervix that is difficult to dilate, if medical abortion is incomplete and curettage is necessary, it is safer than having an artificial abortion from the beginning. Easy to operate.

3. Precautions after medical abortion: If vaginal bleeding continues after medical abortion, or there is tissue discharge, or there is abdominal pain and fever, you should go to the hospital for examination and treatment in time. To avoid infection, you should avoid sexual intercourse and bathing before the bleeding stops after medical abortion. Before menstruation resumes, sexual intercourse should be prohibited even if vaginal bleeding has stopped. After menstruation resumes, you should go to the hospital for another check-up.