Patient's question:
Just had an abortion five days ago and have been getting uterotonic injections for five days. It's been hurting for 12 hours today, and it's not getting better. Why?Doctor's answer:
Hello, if you have undergone a regular induced abortion and experience minimal vaginal bleeding post-surgery, one to two uterotonic injections should be sufficient.After an induced abortion, you need to rest for two weeks, maintain cleanliness and hygiene in the external genital area, eat less spicy and irritating foods, and consume more nutritious foods to help your body recover quickly.
Before menstruation resumes after an abortion, sexual activity, sitz baths, vaginal irrigation, and medication should be avoided. This is because the cervix is relaxed, the endometrium is shedding, and the local defense mechanism is weakened, making it easy to cause retrograde infection, leading to conditions such as endometritis, adnexitis, and other pelvic inflammatory diseases. Severe cases may result in infertility.
Post-abortion bleeding should be less than menstrual flow, bleeding duration should be less than two weeks, and abdominal pain should not exceed three days. If these standards are exceeded, it should be considered possible intrauterine residual tissue, incomplete uterine involution, or uterine cavity infection. In such cases, it is important to actively seek medical examination and diagnosis for symptomatic treatment.