What is the situation if there is no blood after an abortion without pain?

Patient's question:

What is the matter if there is no blood after an abortion without pain?

Doctor's answer:

Hello, after an abortion, bleeding usually stops within a few days, with a maximum duration of no more than two weeks. For minor trauma and painless abortions, bleeding may even stop by the next night. Post-abortion bleeding should not be more than the usual menstrual flow. If bleeding persists for more than a week after a painless abortion, it may be due to inadequate rest, leading to poor uterine recovery, which is referred to as uterine contractions. It could also be caused by inflammation-induced continued bleeding.
If vaginal bleeding is excessive or prolonged, it may indicate possible conditions such as incomplete aspiration, missed aspiration, uterine perforation, cervical laceration, postoperative necrosis, intraoperative or postoperative bleeding, cervical-cavity adhesion, or menstrual disorders. In such cases, it is recommended to seek immediate medical review at a hospital. If the vaginal discharge has a distinct odor or contains yellow or greenish purulent discharge, it may indicate an infection, and medical attention should be sought promptly.

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