What should I do if I have bleeding 10 days after an abortion?

Patient's question:

Medical Description: Bleeding on the 10th day after an abortion. The first two days of bleeding were light, lasting only two days. By the 10th day, there was heavy bleeding. Is this considered menstruation or something else? I had sexual intercourse on the 4th day after the abortion. Could this have caused it?
History of Treatment and Effects: No treatment has been administered.
Desired Help: Should I go to the hospital or take medication?

Doctor's answer:

Hello, after an artificial abortion, you need to rest for 2 weeks, maintain cleanliness and hygiene of the external genitalia, eat less spicy and irritating foods, and consume more nutritious foods to help the body recover as soon as possible. After an abortion, sexual activity, sitz baths, vaginal irrigation, and medication should be avoided until menstruation resumes. This is because the cervix is relaxed, the endometrium is shedding, and the local defense ability is weakened, making it easy to cause retrograde infection, which may lead to pelvic inflammatory diseases such as endometritis and adnexitis. Severe cases may result in infertility. It is recommended that the amount of bleeding after an abortion should be less than the menstrual flow, the bleeding duration should be less than 2 weeks, and the abdominal pain should not exceed 3 days. If these standards are exceeded, it should be considered as possible intrauterine residue, incomplete uterine involution, or uterine cavity infection, and active medical examination should be conducted for diagnosis and symptomatic treatment.

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