Why Is There Bleeding for a Month After an Abortion?

Update Date: 2024-10-14 Source: Network

Possible Causes of Prolonged Bleeding After an Abortion and Recommended Treatments

Persistent bleeding for a month after an abortion may stem from various factors such as residual uterine blood clots, poor uterine involution, intrauterine infections, endometritis, vaginitis, among others. It is crucial to seek medical attention promptly and follow the prescribed treatment plan under a doctor's guidance. Here are the specific causes and corresponding treatments:

1. Residual Uterine Blood Clots

Incomplete abortion can lead to retained blood clots in the uterus, manifesting in continuous lochia discharge and abdominal pain. This can be addressed through uterine curettage to expel the retained blood promptly.

2. Poor Uterine Involution

Impaired uterine involution can cause vaginal bleeding and abdominal pain, disrupting normal menstrual cycles. Applying a hot water bottle to the lower abdomen can enhance local blood circulation and facilitate blood flow. Additionally, medications like Misoprostol Tablets, Ergometrine Maleate Injection, and Amoxicillin Capsules can be prescribed to reduce inflammation and promote uterine contraction.

3. Intrauterine Infection

Intrauterine infections damage uterine tissues, causing abdominal pain and vaginal bleeding. Treatment involves administering antibiotics such as Roxithromycin Dispersible Tablets, Azithromycin Dispersible Tablets, and Cefixime Tablets as prescribed.

4. Endometritis

As a gynecological inflammation, endometritis damages the endometrium, leading to abdominal pain and vaginal bleeding. Treatment involves using medications like Metronidazole Tablets, Tinidazole Tablets, and Nystatin Tablets under medical supervision.

5. Vaginitis

Vaginitis arises from inflammatory infections, causing vaginal mucosal damage, vaginal bleeding, and abnormal vaginal discharge. Improvement can be achieved through gentle cleansing with warm water and frequent underwear changes. Additionally, medications like Fuke Qianjin Pian (a traditional Chinese medicine for gynecological issues), Itraconazole Capsules, and Fluconazole Tablets may be prescribed.

Other potential causes include endometriosis, among others. It is essential to maintain good personal hygiene, regularly changing sanitary pads and underwear.