Patient's question:
Medical history: After medication-induced abortion, ultrasound showed an retroverted uterus with a size of 5.6x5.0x5.2cm, and homogeneous basal echo. Endometrial thickness was 1.0cm, with multiple debris-like echoes observed inside the uterus. No significant masses or tumors were found in the bilateral adnexal regions. No fluid was detected in the uterosacral fossa. CDFI: No abnormal blood flow was observed.Past treatment and outcomes: Natural miscarriage, incomplete miscarriage. Medication: Mifepristone 3 tablets, one tablet per day. After one week of medication, the ultrasound results were as described above.
Help needed: Is it necessary to undergo another artificial abortion? What are the risks if surgery is not performed? What are the postoperative precautions?
Doctor's answer:
Hello, considering the residual in your case, it is recommended to go to the hospital for an ultrasound examination. If the amount is significant, it is more appropriate to undergo a D&C procedure. If the amount is not much, it is suggested to take oral Chinese herbal medicine such as Yi Mu Cao or Xin Sheng Hua Granules, along with anti-inflammatory medication. Generally, the treatment of residual medication after a miscarriage is not very effective, and it is difficult to clean thoroughly. This can lead to abnormal bleeding after medication, and it is best to undergo a D&C procedure. Postoperatively, taking antibiotics is appropriate to prevent infection. Usually, if there is no infection after the surgery, everything will be fine. If the embryonic tissue is not completely removed, it will affect the recovery of the uterus and lead to prolonged, intermittent vaginal bleeding. If a D&C procedure is not performed, the tissue may not be expelled, which can result in organization and adhesion to the uterine wall, affecting future fertility.