Patient's question:
Medical Description: I underwent a D&C procedure on June 17th due to a miscarriage with a flat tire abroad. On the 24th and 25th, I experienced heavy bleeding. Upon returning to China, 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 that the endometrium remained thickened, at about 14 mm. The doctor recommended another colposcopy, stating 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, fearing that further D&Cs could damage my uterus and affect future fertility.History of Treatment and Effectiveness: After the D&C, I experienced heavy bleeding on July 24th and 25th. I received blood transfusions and medication abroad. From August 1st to 3rd, I had minor bleeding.
Doctor's answer:
According to your description, the first heavy bleeding was caused by not being scraped clean; the second minor bleeding, I consider it to be damage-related bleeding caused by a second D&C procedure, which is generally not a concern. I suggest you wait and see how your bleeding progresses before deciding whether to have another D&C. If the bleeding is continuous, you should seek medical attention promptly to check if there is still residual pregnancy tissue in the uterine cavity. If the bleeding is minimal and occurs occasionally, you can regularly test your urine and compare the changes over time. Under normal circumstances, the urine will gradually turn negative. If it remains positive, you should also seek medical attention promptly. Repeated miscarriages and D&Cs can lead to pelvic inflammation, which may result in infertility. Therefore, it is crucial to take the best possible measures to prevent infection after the procedure.