Is there danger in clearing the uterine cavity with a scarred uterus?

Patient's question:

The patient had a cesarean section in early February (at the beginning of the year) and now wants a medication-induced abortion. Is it necessary to perform a uterine aspiration immediately after medication abortion, or should we wait and see? Is there any risk associated with uterine aspiration in a scarred uterus? Follow-up question: Additionally, does a medication-induced abortion in a scarred uterus always result in incomplete abortion?

Doctor's answer:

Can perform painless induced abortion. Induced abortion is a compensatory measure after contraceptive failure. Scarred uterus is one of the main causes of uterine perforation during induced abortion, and it is also one of the serious complications, along with induced abortion syndrome, incomplete aspiration, and abnormal bleeding. In the past, when women underwent induced abortion, they had to endure extreme physical pain while also suffering significant psychological trauma. At this time, painless induced abortion may be a satisfactory and ideal choice. Compared to ordinary induced abortion, painless induced abortion significantly reduces the occurrence of complications such as uterine perforation, induced abortion syndrome, incomplete aspiration, and abnormal bleeding. Therefore, painless induced abortion can be widely promoted for early pregnancy termination in scarred uteri.

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