What should I do if the bleeding does not stop after 15 days after an abortion without pain?

Patient's question:

I still have lower abdominal pain and are discharging coffee-colored fluid ten days after a painless abortion. I am very worried and went to a regular maternal and child health hospital for an ultrasound. The doctor said the uterus is not very clean and there might be blood accumulation. Everything else is normal. The doctor then gave me intravenous fluids for two days and prescribed Aonuo tablets, Yunnan Baiyao Gongxue Ning capsules, Fufan Kangfu tablets, and a bottle of Motherwort. However, suddenly in these two days, I started bleeding fresh blood, just like during my usual menstrual period. Today is the fifteenth day after the abortion, and the bleeding has not stopped. I called the attending physician and he said as long as it is clean, there is no problem. But I am very worried. This is my first pregnancy.

Doctor's answer:

The amount of bleeding after miscarriage should be less than the menstrual flow, the bleeding duration should be less than 2 weeks, and abdominal pain should generally not exceed 3 days. Post-abortion precautions: After the procedure, there may be a small amount of bleeding, which indicates that there are few residual tissues in the uterus or they have been completely removed. The uterine lining has stopped bleeding excessively, which is a good sign. If the bleeding is excessive and exceeds the normal menstrual flow, it is important to return to the hospital for a check-up promptly. During this period, the uterus needs to recover gradually, which may result in light bleeding lasting 1 to 2 weeks. Sometimes, uterine contractions may also cause abdominal cramps. In such cases, it is recommended to have an abdominal ultrasound examination at the hospital to monitor the uterine recovery.

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