"What Causes Blood Clots and Bleeding After an Abortion?"

Abortion and Post-Procedural Bleeding Clots

Abortion refers to induced abortion. Post-abortion bleeding with clots can be attributed to various causes such as normal phenomena, retained embryonic tissue, intrauterine infection, suboptimal uterine involution, endometritis, among others. It is advisable to seek medical attention promptly and receive appropriate interventions or treatments under medical guidance. The details are as follows:

1. Normal Phenomena

During an abortion procedure, the cervix and endometrial lining are subjected to trauma. Following the surgery, the levels of estrogen and progesterone in the body decrease, which can lead to the shedding of uterine decidual tissue, manifesting as bleeding. Generally, no specific treatment is required, and bleeding gradually stops within 7 to 10 days post-surgery. However, maintaining personal hygiene by washing the external genitalia with warm water before bedtime is essential.

2. Retained Embryonic Tissue

If the gestational material within the uterine cavity is not completely expelled after abortion, symptoms such as abdominal pain, fever, and abnormal bleeding may occur. In such cases, surgical evacuation of the uterus (curettage) is often necessary, followed by medications prescribed by the doctor, such as Motherwort Capsules, Xinshenghua Granules, or uterotonic agents, to promote blood circulation and dispel blood stasis.

3. Intrauterine Infection

Individuals with a history of gynecological inflammation may experience a decline in immune function post-abortion. Poor personal hygiene can facilitate the invasion of pathogens into the uterine cavity, leading to symptoms like abdominal pain, fever, and abnormal vaginal bleeding. Strengthening personal hygiene and, if necessary, taking medications like Metronidazole Tablets, Cefuroxime Axetil Tablets, or Azithromycin Dry Suspension under medical guidance can help resolve the inflammation.

4. Suboptimal Uterine Involution

Poor uterine contractility or suboptimal healing after abortion can result in abnormal vaginal bleeding accompanied by a sensation of heaviness in the lower abdomen. Applying a warm compress wrapped in a towel to the abdomen can aid uterine contraction. In severe cases, medications like Tranexamic Acid Tablets, Motherwort Granules, or Ergometrine Maleate Tablets, prescribed by a doctor, can help with blood circulation and hemostasis.

5. Endometritis

Endometritis may arise from infection of the endometrial lining by pathogens, disrupting normal endometrial shedding and leading to increased vaginal bleeding with clots and abdominal pain. Treatment involves medications such as Amoxicillin Capsules, Fuyankang Tablets, or Metronidazole Tablets, as advised by the doctor. Daily personal hygiene and cleaning the external genitalia with warm water before and after sexual activity are crucial.

Additionally, other factors like pelvic inflammatory disease could also be involved. It is imperative to consult a gynecologist promptly, undergo relevant examinations, receive a definitive diagnosis, and then receive targeted treatment.