Patient's question:
[To the hospital for an induced abortion, blood tests before admission revealed high white blood cell count, around 12,000. She was given medication for several days, then received an abortion injection, but there was no response after two days. Then she was given oral medication and suppositories, and soon after experienced abdominal pain and miscarried. Now, almost a month has passed, and she has been resting at home almost like a postpartum woman, but there is still a small amount of bleeding.Medical history and effectiveness: Yesterday, she had an ultrasound at the hospital, which showed 12MM8MM blood clots in the uterus.
Help needed: For someone in her situation, what should she do? Is it necessary to have a D&C (dilation and curettage)? What are the consequences if it is not done?]
Doctor's answer:
Hello, the bleeding time after an abortion procedure generally does not exceed one week. Your condition may be due to residual tissue remaining in the uterus after the procedure or poor uterine recovery post-surgery, leading to prolonged bleeding. Based on your situation, it is recommended to visit a gynecological department at the hospital for further examinations such as an ultrasound. After determining the cause of the bleeding through the examination results, appropriate treatment can be administered. If the residual tissue volume is large, a surgical procedure called dilation and curettage (D&C) may be performed. If the residual tissue is small, medication can be used. Pay attention to hygiene and avoid sexual activity for one month.