What Should I Do if There Is Heavy Bleeding After Expelling the Embryonic Sac Through Medical Abortion?

Update Date: Source: Network

Bleeding after medical abortion requires different measures depending on different situations. If the bleeding after medical abortion is prolonged due to incomplete expulsion of the gestational sac, resulting in incomplete abortion, it is necessary to go to the hospital for urine pregnancy test and B-ultrasound examination. If it is diagnosed as incomplete abortion, then a uterine curettage should be performed, and generally, vaginal bleeding will stop within 10 days after the surgery. If the bleeding time is prolonged due to incomplete decidual shedding, but the amount of bleeding is not much, then Leonurus heterophyllus or traditional Chinese medicine Shenghua Decoction can be taken, and oxytocin can also be injected to promote uterine contraction and expel the remaining decidual tissue. If the amount of bleeding is more than usual menstrual blood volume, generally, it is also necessary to go to the hospital for uterine curettage surgery.

Medical abortion, or drug-induced abortion, refers to the method of achieving artificial abortion by injection or medication without surgery during early pregnancy. Normally, there will be decidual tissue excretion after medical abortion, which is less than the usual menstrual blood volume and appears dark red. There will be approximately 15 days of irregular vaginal bleeding after medical abortion, and the specific bleeding time varies from person to person. However, if bleeding has not stopped after more than 2 weeks after medical abortion, and the amount of bleeding has not decreased, it may be caused by incomplete medical abortion. In this case, immediate examination at a formal hospital is recommended. If it is indeed due to incomplete medical abortion, uterine curettage surgery is required. Additionally, apart from incomplete medical abortion, poor blood clotting function can also cause prolonged bleeding after medical abortion.

Some women are prone to bruises or bumps after minor impacts or pinching, which may be caused by poor blood clotting function. Women with poor blood clotting function may experience heavy bleeding or prolonged bleeding during medical or surgical abortion. If B-ultrasound examination shows no residual tissue in the uterus, then prolonged bleeding after medical abortion may be caused by uterine infection. The blood discharged after medical abortion provides a good medium for bacteria growth, and if the bleeding time is prolonged and proper care is not taken, uterine infection can easily occur, leading to prolonged bleeding.