Patient's question:
After taking the medication for medication abortion, there was no blood on the 5th day. Starting from the 7th day, there was a slight bleeding again, with some brownish discharge in between. There were also a few days with no bleeding. On the 18th day in the afternoon, there was a small amount of bright red blood, which continued for two more days, but the amount was not significant, less than usual menstruation. On the 21st day in the morning, an ultrasound was performed, and the results showed: normal uterine size, uniform echo of the uterine wall, a high-echo spot inside the uterus, approximately 0.90.8 cm. No significant abnormal echoes were observed in the bilateral adnexal areas. MRI results: high-echo spot inside the uterus. The doctor said there was nothing wrong and prescribed Postpartum Blood Stasis Granules + Amoxicillin-Clavulanate Potassium Chewing Tablets (two boxes each). However, the hospital was very crowded that day, and I just quickly asked for an opinion, fearing the doctor didn’t examine it properly. I am hoping for expert advice to see if there is any problem. Should I undergo a uterine clearance? I am really afraid of that thing.Doctor's answer:
In your case, it is considered to be caused by incomplete miscarriage. Since your uterine foreign body is very small, it is recommended to use medication for treatment first. Generally, it can heal on its own, but you should rest sufficiently and avoid excessive consumption of spicy foods. If the bleeding still persists for a long time, it is advised to promptly undergo an ultrasound re-examination at the hospital to confirm whether the endometrium has fully recovered. If necessary, a D&C procedure should be performed in a timely manner to prevent infection due to prolonged bleeding.