How long is normal bleeding after medical abortion?

Bleeding is a normal physiological phenomenon right after a medical abortion. Generally speaking, the average time for the gestational sac to be expelled is about 16 days after a medical abortion. However, you should also be vigilant. If bleeding continues after 18 days, it may be caused by incomplete decidua exfoliation or infection. At this time, you should go to the hospital for examination in time to avoid adverse effects on your health.

How long does bleeding last after medication abortion?

After medical abortion, the average number of days of bleeding after the fetal sac is expelled is 16 days.

If someone is still bleeding for more than 18 days, it may be that the decidua is not completely detached, affecting uterine contraction and hemostasis; or the gestational sac is not completely expelled, leading to incomplete abortion; a small number of patients are infected after medical abortion surgery, resulting in endometrial inflammation.

If there are residual objects that are not cleared from the uterus, vaginal bleeding will be prolonged, thereby increasing the chance of infection. If ascending infection is caused, resulting in blockage of the fallopian tubes, pregnancy will be affected.

Because the bleeding time after medical abortion is long and the cervix relaxes, it provides opportunities for bacterial growth and retrograde infection. Therefore, if vaginal bleeding lasts for more than 7 days, antibiotics should be taken routinely for 3-5 days to prevent infection.

In order to recover as quickly as possible after medical abortion, you must pay attention to the following issues: Do not have sexual intercourse within one month after medical abortion to avoid infection; Do not take a bath in a tub after medical abortion to avoid reproductive tract infection. When washing your hair or taking a bath, make sure to use hot water, get enough rest, eat light food, avoid spicy food, and pay attention to strengthening nutrition. If there is excessive bleeding, you can eat some blood-enriching food appropriately.

Is it necessary to have a uterine cleaning after medical abortion?

A follow-up examination is required after medical abortion. If there is no residue, there is no need for uterine curettage. If there is any residue, the uterus needs to be cleaned up as soon as possible. Otherwise, the residues remaining in the uterus will affect the contraction and involution of the uterus, causing long-term bleeding, which can easily lead to endometritis or endometrial adhesions, fallopian tube adhesions, pelvic inflammatory disease, etc. In severe cases, it may lead to infertility.

Sometimes the onset of menstruation does not mean that there is no residual stool. It is recommended that patients go to the hospital for a follow-up examination. If there is any residual stool, the uterus should be cleaned in time.

Precautions after medical abortion

1. After the tissue is discharged, you need to stay in the hospital for observation for 1 hour. If the vaginal bleeding is not too much, you can go home and rest.

2. Get adequate rest within 2 weeks after miscarriage, eat nutritious food, and avoid heavy physical labor.

3. Pay attention to the cleanliness of the perineum. Do not take a bath or have sexual intercourse when vaginal bleeding has not stopped.

4. In the first 2 to 3 days after abortion, the amount of vaginal bleeding is generally equivalent to or slightly more than the menstrual amount. If the amount of vaginal bleeding is heavy or persistent, seek medical attention promptly.

5. Patients with no tissue discharge should be observed for 2 weeks after medication. During this period, attention should be paid to whether there is any tissue discharge during urination and defecation, and urine should be collected for pregnancy test every week.

6. Ovulation may resume soon after miscarriage, so contraceptive measures should be taken to avoid pregnancy again.