Is it Normal to Have Blood Clots 20 Days After Medical Abortion?

If there are still blood clots 20 days after medical abortion, it indicates incomplete abortion, and timely medical treatment is required. If the medical abortion is complete, the bleeding time is generally around 7 days. If bleeding continues beyond 7 days, the possibility of incomplete abortion is relatively high. The appearance of large blood clots 20 days after medical abortion definitely indicates incomplete abortion. It is necessary to go to the hospital for curettage as soon as possible to avoid severe bleeding and possible shock. Therefore, after medical abortion, it is necessary to undergo a B-ultrasound examination at the hospital around 7 days after bleeding to detect incomplete abortion in time. If incomplete abortion is found at this time, performing curettage will have less harm to the uterus. Waiting for massive bleeding before performing curettage will have very serious effects on the body and the uterus. This is also a disease of obstetrics and gynecology, and if delayed for a long time, it can cause shock.

Incomplete medical abortion can lead to irregular vaginal bleeding, even heavy bleeding. Over time, it may also lead to intrauterine infections, resulting in endometritis, myometritis, salpingitis, and pelvic inflammatory disease. In severe cases, it can cause blockage of the fallopian tubes, affecting future fertility. Therefore, incomplete medical abortion should be addressed as soon as possible. Typically, the treatment approach is determined based on the size of the residual tissue. If the residual tissue is small, drug therapy or traditional Chinese medicine therapy can be considered to expel the residual tissue from the uterus. If there is a large amount of residual tissue or heavy bleeding, surgical curettage should be performed immediately.