Patient's question:
At 3 weeks of pregnancy, the B indicated fetal demise. An D&C (dilation and curettage) procedure was performed. On the third day, a follow-up B showed blood without discharge, and it was noted that the uterus is retroverted, making it difficult to expel. The doctor prescribed Misoprostol for two days (two tablets per day) and one tablet of Misoprostol for the next day. On the seventh day, another follow-up B revealed that everything was clean. Now, it has been 10 days since the D&C, and there is a brownish discharge. What could this be?Doctor's answer:
There is something brownish flowing out, which could be due to the endometrium being repaired. If it persists for less than 2 weeks, a re-examination should be conducted. The causes of fetal demise mainly include chromosomal abnormalities (abnormalities in sperm and egg chromosomes), endocrine disorders, reproductive organ diseases (bicornuate uterus, septate uterus, uterine malformation, pelvic tumors, etc.), systemic diseases in pregnant women (acute infectious diseases like influenza, typhoid, pneumonia, severe anemia, heart failure, chronic nephritis, and hypertension, etc.), and blood type incompatibility between mother and child. The cause must be identified for symptomatic treatment. Further consultation can be conducted for a detailed understanding.