Patient's question:
Doctor, I consulted you in the morning. On March 14, I had an abortion at a local regular hospital under anesthesia. I have been having bleeding. A month later, an ultrasound showed 1.51.6 echoes in the uterus. The doctor prescribed progesterone for five days, five tablets a day. After finishing the medication, my period started three days later. The first day was very heavy, and then it became normal, but it kept going. On May 7, another ultrasound still showed 1.51.6 echoes. On May 8, I went to the 306 Hospital of the People's Liberation Army in Beijing for a consultation. The doctor prescribed mifepristone three times, two tablets in the morning and two in the afternoon, with two tablets the next morning. After taking it, I didn’t vomit, but after four days, there was still a lot of blood. In the morning, several doctors replied that I should have another ultrasound and have a uterine clearance. However, I have already had three ultrasounds after the surgery, with the most recent one on May 7 showing: the uterus is retroverted, 9.96.26.0, normal shape, intact capsule, uniform muscle wall echoes, and a 1.51.6 heterogeneous echo detected in the uterine cavity. The left adnexa showed a 1.41.4 anechoic area with clear boundaries, while the right adnexa showed no obvious abnormal echoes. I have taken the ultrasound report to see several doctors, but none of them recommended a uterine clearance again.Doctor's answer:
Hello, in this case, it is more likely caused by incomplete miscarriage and poor uterine recovery. The ultrasound shows a blood clot in the right fundus of the uterus, which can lead to persistent bleeding. You should take Xin Sheng Hua Granules, as they have the function of promoting blood circulation and resolving blood stasis, which can help stimulate uterine contractions and aid in uterine recovery. In fact, under normal circumstances, any form of miscarriage will have some impact on the patient. Therefore, patients should pay attention to nursing and health care. Miscarriage patients should pay attention to self-care, such as a balanced diet and avoiding cold, spicy, and irritating foods.