There is an inhomogeneous high echo area in the uterine cavity, do I need a uterine clearance?

Patient's question:

Post-abortion, there is an uneven high-echo area of 1.4-1.9 cm in the uterine cavity. Is surgical uterine clearance necessary?

Doctor's answer:

Generally, it is possible to decide on a miscarriage procedure within 70 days of confirming an intrauterine pregnancy. However, a miscarriage procedure also carries certain risks, such as the possibility of incomplete suction, uterine perforation, or failure to remove all tissue. Based on the examination results, besides abnormal echoes in the uterus, it may indicate an incomplete miscarriage or incomplete expulsion of blood clots. It is recommended to undergo uterine evacuation under the guidance of a doctor. If you do not wish to have uterine evacuation, you can first take medication to promote uterine contractions and carefully observe whether the tissue can be expelled. If it still cannot be expelled, uterine evacuation will be necessary. It is advised to avoid exposure to cold and not to eat spicy or extremely cold foods. Additionally, maintain good hygiene and avoid sexual intercourse for the first month.

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