Does medical abortion plus uterine curettage cause the most harm?

If the medical abortion is incomplete, a uterine curettage operation will be required. This is equivalent to women suffering from harm twice, which has a relatively large impact on health. Therefore, before having an abortion, you must find a professional and regular hospital for treatment in this regard. Never go to some small clinics to avoid causing secondary harm. After the medical abortion, you must pay attention to conditioning, maintain adequate rest, etc.

Does medical abortion plus uterine curettage cause the most harm?

Generally speaking, the bleeding time after medical abortion is about 15 days. Generally speaking, the cause of bleeding is the remnants of chorionic tissue and intrauterine decidua. Therefore, if the vaginal bleeding after surgery is too long or too long, it is necessary to consider whether it is a failure of medical abortion. The success rate of medical abortion is only 90%, so the 10% of failures will face another uterine curettage. Some women also experience heavy bleeding due to retention of fetal tissue after medical abortion, and at this time they need emergency uterine curettage. The following women need uterine curettage after medical abortion. Improper uterine cleaning is harmful to women's body:

1. Cervical or endometrial adhesion: During uterine dilatation and curettage, if the scraping is too rough, causing injury or inflammation of the cervix or endometrium, it is possible to produce postoperative cervical or endometrial adhesions and cause menstrual abnormalities, such as amenorrhea or too little menstrual flow. In severe cases, infertility may occur in the future.

2. Incomplete abortion: If the operation is not performed completely, a small amount of fetal tissue will remain in the uterus, which may affect uterine contraction and cause continuous bleeding or cause adhesion, infection, etc. It is best to perform another careful surgery to remove the remaining tissue. Abnormal position or shape of the uterus is generally more likely to cause this sequelae.

3. Bacterial infection: If the instruments are not completely sterilized, or the surgeon himself does not pay attention to the aseptic process, it may cause intrauterine infection and even continue to spread upward to invade the fallopian tubes and pelvic cavity. In severe cases, it may cause ectopic pregnancy or infertility in the future.

Precautions for medical abortion

1. Before medical abortion

(1) Perform an ultrasound examination before medical abortion to rule out ectopic pregnancy and understand the size and location of the embryonic sac to help determine whether medical abortion is appropriate.

(2) Medical abortion must be for women who conceived within 49 days of amenorrhea and are under 40 years old

(3) The patient is in good physical condition and has no contraindications. Contraindications include: past or current severe systemic diseases, liver or kidney dysfunction, allergic constitution, heart disease, hypertension, anemia, asthma, glaucoma, skin itching during pregnancy, etc.

(4) Go to a hospital with emergency treatment, curettage, and blood transfusion facilities for medical abortion, and observe carefully to prevent any accidents;

(5) Strictly following the doctor's instructions and returning for follow-up visits on time are important precautions before medical abortion.

2. After medical abortion

(1) Hygiene and contraception after medical abortion should be taken more seriously.

(2) During medical abortion, retrograde infection is prone to occur due to new trauma to the uterus and vaginal bleeding. Therefore, attention should be paid to local hygiene. Showers should be taken instead of baths in a tub to prevent sewage from entering the vagina and causing infection. No sexual intercourse for one month.

(3) Rest for 1 to 2 weeks after medical abortion and gradually increase activity. Do not engage in heavy physical labor or work in cold water within one month after an abortion to avoid reduced resistance and inducing other diseases.

(4) Observe the bleeding situation. If vaginal bleeding lasts for more than one week after abortion, or is even accompanied by lower abdominal pain, fever, turbid and foul-smelling leucorrhea, etc., you should go to the hospital for diagnosis and treatment in time.