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 never stopped. 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 treatment. 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, the bleeding was still heavy. In the morning, several doctors suggested another ultrasound and a D&C procedure. However, I have already had three ultrasounds before, with the most recent one on May 7 showing: the uterus is retroverted, measuring 9.96.26.0, with normal shape and 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 shown the ultrasound report to several doctors, but none have recommended another D&C procedure.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 it has the effect of promoting blood circulation and resolving stagnation, which can help promote uterine contractions and aid in uterine recovery. In fact, under normal circumstances, any method 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.