Patient's question:
[Medical Description: I had a D&C procedure abroad on June 17th due to a flat tire. On the 24th and 25th, I experienced heavy bleeding. After returning to the country, an ultrasound revealed that my endometrium was thickened by about 20%, and another D&C was performed, during which fragmented fetal membranes were removed. The pathology report indicated 'placental membranes and villi.' Subsequent ultrasounds showed the endometrium remained thickened, at about 14. The doctor recommended another colposcopy and said it might be necessary to perform another D&C. He also mentioned that it's possible I may not have periods in the future. I'm very scared, afraid that further scraping could damage my uterus and affect future fertility.History of Treatment and Effect: Heavy bleeding occurred about 7 days after the D&C on the 24th and 25th. I received blood transfusions and medication abroad. From August 1st to 3rd, there was minor bleeding.]
Doctor's answer:
[Condition Analysis: According to your description, the first major bleeding was caused by incomplete scraping; the second minor bleeding, I consider, is likely due to traumatic bleeding following a second procedure, which is generally not a concern.Advice: I recommend you observe your bleeding to decide whether another is necessary. If the bleeding is continuous, you should seek medical attention promptly to check for any remaining pregnancy tissue in the uterine cavity. If the bleeding is minimal and occurs occasionally, you can regularly test your urine to monitor any changes. Under normal circumstances, the urine test should gradually turn negative. If it remains positive, you should also visit the hospital for timely evaluation.
Repeated miscarriages and procedures can lead to pelvic inflammation, which may result in infertility. Therefore, it is crucial to prioritize infection prevention after the procedure.]