Patient's question:
I had a cesarean section, and my lochia has been continuous for 45 days. Recently, I've also been experiencing lower abdominal pain. A detailed ultrasound examination revealed 3.7×2.9 blood clots in the uterine cavity. After taking three misoprostol tablets, nothing was expelled. I was then given three days of oxytocin injections, followed by another detailed examination which showed that the blood clots had grown larger than before. The doctor suggested a uterine clearance, but I've only been 45 days post-cesarean—what are the risks? Does this issue relate to the cesarean section surgery? Can I undergo a painless uterine clearance? How should the uterine contents be handled after a cesarean section?Doctor's answer:
I'm glad to help you clarify this. It's best to have a regular D&C procedure, as it's relatively safer. I recommend getting the D&C treatment as soon as possible, otherwise it could lead to intrauterine infection. Your cervix is now fully open, so it won't be as painful. Additionally, for patients who have had a C-section, their diet and care during the treatment period are also very important. Patients should pay close attention to rest and engage in appropriate activities to avoid unnecessary injuries.