Patient's question:
Female, 23 years old, I had a medication-induced miscarriage. After that, I have been experiencing abdominal pain. Later, I had a check-up at the hospital and found that there was still some tissue remaining, as the miscarriage was incomplete. Could you please tell me how thick the decidua needs to be before a D&C (dilation and curettage) is necessary?Doctor's answer:
When the endometrium thickens to 1.0 cm, menstruation has already started. A normal menstrual cycle is 3-7 days. When menstrual flow is heavy and the duration is long, a magnetic resonance imaging (MRI) examination may reveal that the endometrial thickness is less than 1 cm, and the symptoms of bleeding are generally not stable. If conventional medication and menstrual regulation drugs are ineffective, should be considered. If abnormal bleeding occurs after menopause, an endometrial examination and are necessary to rule out the possibility of endometrial inflammation.