Patient's question:
My friend had an induced abortion surgery at Maternal and Child Health Hospital on October 10, 2010. After the surgery, she had no adverse reactions, but she has not had her period until now. Later, she went to the hospital for a follow-up check-up (ultrasound and urine test). The hospital informed her that there were residual tissues and that everything would be fine once her period came. They did not prescribe any medication or administer intravenous fluids. Fearing the situation, she went to the Provincial Hospital for a thorough examination three days later. However, they informed her that there were residual tissues in the endometrium and signs of inflammation, requiring a uterine clearance surgery. (Digestion: Except for not having her period until now, there are no other adverse reactions.)Previous treatment and outcomes: The hospital's ultrasound results showed: Transvaginal examination: Uterus retroverted, uterine body: 454539mm, muscular layer echo: Uneven intrauterine echo seen measuring 271320mm.
Doctor's answer:
The situation described involves observing 271320mm heterogeneous high-echo areas in the uterine cavity, with 543mm increased light spots visible within. This is considered to be residual material from incomplete miscarriage. There are two methods to determine the course of action: 1. Directly perform a D&C (dilation and curettage) to resolve it. 2. First take medication to induce expulsion, such as New Supernova Granules or Postpartum Blood Stasis Capsules, etc. After taking the medication for 5 days, re-examine. If it has not been expelled by then, a D&C should be performed.