Patient's question:
What are the sequelae after medication abortion?Doctor's answer:
It is best to have another surgery to remove any remaining tissue. Abnormal position or shape of the uterus generally makes it easier to cause this complication.2. The medication-induced abortion method does not have the aforementioned complications and can avoid some physical and psychological side effects for women, but it still requires attention to the possibility of heavy bleeding and incomplete abortion.
3. Uterine perforation: The risk increases with the gestational age; the more times a woman has had an abortion, the higher the chance of perforation. Other factors, such as abnormal uterine position or shape, or a uterus that has undergone previous surgery, also increase the risk of perforation.
4. Bacterial infection: If the instruments are not properly sterilized or if the surgeon does not follow sterile procedures, it may lead to intrauterine infection, which could even spread upward to affect the fallopian tubes and pelvic cavity. In severe cases, it may result in future ectopic pregnancy or infertility.
5. Cervical or endometrial adhesions: During a uterine dilation and curettage (D&C), if the procedure is too rough, it may cause injury or inflammation to the cervix or endometrium, potentially leading to postoperative adhesions. This can cause menstrual irregularities, such as amenorrhea (no menstruation) or excessively light periods. Severe cases may lead to infertility later.
Best time for medication-induced abortion
6. Cervical injury: During the process of dilating the cervix, if care is not taken or the dilation is too rapid, it may cause cervical damage, making future pregnancies more prone to miscarriage. This is particularly common in women who are pregnant for the first time or have never given birth.
7. Anesthesia may lead to aspiration pneumonia or respiratory arrest.
Frequent induced abortions can also lead to a series of other complications, such as pelvic infection, menstrual disorders, secondary amenorrhea, fallopian tube blockage, endometriosis, and infertility.