Patient's question:
Doctor:Hello! I underwent a D&C procedure on October 9th and a hysteroscopy on October 16th due to incomplete medication-induced abortion. After the hysteroscopy, I've been experiencing lower abdominal heaviness and mild pain. On November 4th, I had another ultrasound, which diagnosed chronic pelvic inflammation (a 2.3×0.7cm fluid-filled area in the uterus and rectouterine pouch, with no abnormalities in the uterus or adnexa). After two weeks of medication, an ultrasound on November 16th showed everything was normal, with no fluid remaining. A 10-item urine test was also normal. I am still taking "Fukang Pian" (a traditional Chinese medicine). However, during the medication period, I still feel discomfort in my lower back and abdomen. Up to this day,
Doctor's answer:
Hello, based on the description of the situation, the possibility of uterine perforation is unlikely. The clinical manifestations of cervical erosion include increased leukorrhea, viscous discharge, purulent discharge, or streaks of blood. Patients with pelvic inflammatory disease should pay attention to:(1) Pay attention to personal hygiene and sexual hygiene, strictly prohibit sexual intercourse during menstruation, and maintain cleanliness of the external genitalia and vagina. Actively treat vaginal infections, cervical erosion, appendicitis, etc., to prevent infections after artificial abortion and delivery.
(2) Pelvic inflammatory disease treatment must be thorough to avoid it becoming chronic pelvic inflammatory disease.
(3) Pay attention to moderate work and rest to prevent recurrence of chronic pelvic inflammatory disease.
(4) Actively treat vaginal infections, cervical erosion, and other gynecological inflammatory diseases. Surgical treatment may be necessary if needed.
(5) Eat a light diet, avoid cold, spicy, and irritating foods, and drink plenty of water.