Patient's question:
Medical history: 18 days after medication abortion, a hospital ultrasound showed that the uterus was already clean. However, nearly 510 milliliters of dark-colored blood still flow from the vagina every afternoon at 5:00 PM. Past treatment and effectiveness: After medication abortion for 15 days, I took Yi Mu Cao Chong Ji continuously, but then stopped. What kind of help I need: I want to know how to stop the bleeding and why this is happening.Doctor's answer:
First: What is displayed on the ultrasound is not completely gone; it's like how you see a clean desktop, but when you touch it, there might be dust. Very small remnants are not visible on the ultrasound.Second: There may be no remnants, but there is still endometrial tissue in the uterus. During pregnancy, the endometrium has rich capillaries. Even if the gestational sac has fully emerged, the endometrium takes some time to be expelled, which varies from person to person.
Third: Even after the endometrium is expelled, there may still be bleeding, which is related to the closure of capillaries. It's similar to how there's bleeding after an injury for a while. Currently, you're experiencing short-term, small amounts of bleeding in the afternoon—this should be the third case. Excessive activity or prolonged standing can cause the blood vessels in the lower abdomen to become congested due to gravity, leading to re-bleeding from newly closed vessels.
It is recommended to rest more, especially lying down. Generally, it improves within two to three days.
Finally, wish you a speedy recovery!