Patient's question:
Medical History Description: 5 months pregnant. I had an abortion on July 6th, but there was no scraping. My first period was on July 30th, with very little bleeding—just enough for a panty liner—and it lasted until July 10th. On August 10th, an ultrasound showed a small amount of blood accumulation in the uterus and thickening of the uterine wall. The doctor said no scraping was needed, just some anti-inflammatory medication. However, after that visit, there was no bleeding. What should I do? Isn’t there still blood accumulation in the uterus?Past Treatment and Effects: On July 25, 2008, I had a cesarean section.
What Help Do You Need: Should I have a scraping in this situation? If not, when is the best time to take anti-inflammatory medication, and for how long?
Doctor's answer:
After a miscarriage, sexual activity should be avoided before the return of menstruation, as well as tub baths, vaginal douching, and medication administration. 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 can lead to pelvic inflammatory diseases such as endometritis and adnexitis. Severe cases may result in infertility.The amount of bleeding after a miscarriage should be less than that of a normal menstrual period, and the bleeding duration should be less than 2 weeks, with abdominal pain generally not exceeding 3 days. If these standards are exceeded, it should be considered possible intrauterine residual tissue, incomplete uterine involution, or uterine cavity infection. Active medical examination should be conducted to confirm the diagnosis and provide symptomatic treatment.