Patient's question:
On March 14, I had an abortion at a regular hospital in my local area under anesthesia. After the procedure, I continued to have bleeding. One month later, an ultrasound showed a 1.51.6 echo inside the uterus. The doctor prescribed progesterone for five days, saying it could stimulate menstruation to help expel the remaining tissue. I took five tablets each night. Three days after finishing the medication, my period started, with a heavy flow on the first day, followed by a moderate flow, but it continued without stopping. On May 7, another ultrasound still showed a 1.51.6 echo. On May 8, I went to the 306 Hospital of the People's Liberation Army in Beijing for treatment. The doctor prescribed misoprostol three times, saying it could stop the bleeding or help expel the remaining tissue. I took two tablets in the morning and two in the afternoon. The next morning, I took two more. After taking the medication, I didn't vomit but felt a bit weak. It has been four days now, and the bleeding is still heavy. I really don't know what to do anymore.Doctor's answer:
General postoperative vaginal bleeding in normal cases does not exceed two weeks. Based on your description, it is considered to be caused by poor uterine contraction. You can take Yi Mu Cao ointment to promote uterine recovery. Mild discomfort or pain during the recovery process is normal. If the bleeding lasts more than two weeks, you need to go to the hospital for an ultrasound examination to consider the possibility of retained decidua, and a D&C procedure may be required.The occurrence of gynecological diseases not only affects a woman's physical health but can also lead to other gynecological conditions. Therefore, it is best to visit the gynecology department of the hospital for a check-up. After identifying the cause, symptomatic treatment should be administered. Pay attention to dietary management in daily life, consuming light and easily digestible foods, and avoiding spicy, irritating, and cold foods.