Patient's question:
Medical history: 18 days after medication abortion, a hospital ultrasound showed that the uterus was already clean. However, nearly 510 milliliters of dark-colored blood were still flowing from the vagina every afternoon at 5:00 PM. Past treatment and effectiveness: After medication abortion for 15 days, I took Yimucao Chongji continuously, but then stopped. What help I need: I want to know how to stop the bleeding and why this is happening.Doctor's answer:
First: What is shown on the ultrasound is not completely gone; it's like how the surface of the table looks clean, but when you touch it, you might find some dust. Very small remnants are not visible on the ultrasound.Second: There may be no remnants, but there could still be uterine decidua. During pregnancy, the uterine decidua has rich capillaries. Even if the gestational sac is fully expelled, the decidua takes some time to be expelled, which varies from person to person.
Third: Even after the decidua is expelled, there might still be bleeding, which is related to the closure of capillaries. It's similar to how you might bleed for a while after an injury. Currently, you're experiencing short-term, light bleeding in the afternoon, which should be the third case. If you engage in excessive activity or stand for too long, the blood vessels in your lower abdomen may become congested due to gravity, causing newly closed vessels to bleed again.
It is recommended to rest more, especially by lying down. Generally, it should improve within two or three days.
Finally, I wish you a speedy recovery!