Why is there still bleeding after a month of dilation and curettage?

Update Date: 2024-09-29 Source: Network

One month after dilation and curettage (D&C), continued bleeding may be caused by infection, incomplete curettage, or poor uterine contraction.

1. Infection:

Early sexual intercourse or poor hygiene of the external genitalia after D&C can allow bacteria to enter the uterus, leading to infection. Infection can cause endometritis, which in turn causes persistent bleeding. Patients may also experience abnormal odor in vaginal discharge. In this case, prompt medical attention is crucial, and doctors may prescribe antibiotics to control the infection.

2. Incomplete Curettage:

If the uterus is not completely cleared during the D&C procedure, residual tissue can prolong bleeding. This situation requires another cleaning procedure to ensure no remnants remain in the uterus. While this process may be uncomfortable, it is necessary for recovery.

3. Poor Uterine Contraction:

After D&C, the uterus needs time to recover. If the uterus is large or does not recover well, it may result in poor uterine contraction, causing prolonged bleeding. Doctors may prescribe medications to promote uterine contraction and aid in recovery. Medication is usually effective but requires patience and time.

4. Gestational Trophoblastic Tumor:

Although rare, this condition can also be a cause of long-term bleeding. Gestational trophoblastic tumor can lead to persistent bleeding, and patients may need blood tests and human chorionic gonadotropin (hCG) measurements to aid in diagnosis. This condition requires professional medical intervention and treatment.

5. Other Possible Factors:

Some women may have different recovery times due to individual differences. Stress, diet, and lifestyle habits can also affect the recovery process. Maintaining good habits, avoiding overexertion, and paying attention to balanced nutrition can all contribute to a smoother recovery.

Advice:

Persistent bleeding is a signal that requires attention, and it is essential to seek medical attention promptly and follow professional advice. Recovery takes time and patience. Taking care of oneself is crucial for a speedy and healthy recovery.