Is a 30mm Residual Mass in the Uterine Cavity Considered Large? Is Surgical Removal Necessary?

After a medical abortion, there is a 30mm residual mass in the uterine cavity, which is relatively large in size and generally requires uterine curettage. If the B-ultrasound results indicate the presence of a 30mm residual mass in the uterine cavity after medical abortion, most cases require uterine curettage due to the large size of the residual mass relative to the uterus, which often results in rich blood flow signals. If treatment is attempted through medication, such as promoting uterine contractions, the effect is often poor, and treatment often fails. In later stages, uterine curettage may still be necessary. Therefore, in cases of 30mm residual mass after medical abortion, it is advisable to perform uterine curettage as early as possible to thoroughly remove the tissue. After curettage, drugs that promote uterine contractions can be added to further enhance uterine contractions.

1. Choose a Reputable Hospital: When undergoing uterine curettage, patients should select a reputable hospital to ensure the effectiveness of the procedure. After curettage, bleeding from the vagina is common and should stop within 3-7 days. If bleeding persists for half a month or longer, patients should be aware of this abnormal symptom and promptly seek medical attention for detailed examination to determine the underlying cause.

2. Rest Adequately: Post-curettage, women need to ensure sufficient rest for recovery. It is recommended to rest for at least half a month to a month. Avoid engaging in heavy physical activities during this period to prevent excessive fatigue. Additionally, women should wait until after menstruation has resumed following curettage before resuming sexual activity to minimize the risk of uterine injury.

3. Avoid Pregnancy Shortly After Curettage: Women must avoid becoming pregnant immediately after uterine curettage. It is advisable to wait at least six months to allow the uterus sufficient time to recover and avoid the risks associated with frequent pregnancies in a short period.