How to determine if a miscarriage is complete?

Patient's question:

I had an abortion surgery half a month ago, and I often experience stomach pain now. What's going on? How can I determine if a miscarriage is clean?

Doctor's answer:

After the surgery, a follow-up ultrasound examination of the uterus and its appendages is required to assess the completeness of the miscarriage. If there are intermittent abdominal pains, it may be due to uterine contractions, potentially indicating retained fetal tissue. If there is persistent lower abdominal discomfort, it may be considered a case of pelvic inflammatory disease (PID) resulting from a miscarriage. PID requires confirmation through a gynecological examination, including a bimanual examination. If PID is diagnosed, antibiotic treatment is necessary. Maintain physical and mental health, and keep personal hygiene to prevent bacterial invasion due to weakened immunity.

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