09cm residue after 14 days of medical abortion

If women of childbearing age do not take contraceptive measures after sex, it is very easy to get pregnant. If you do not plan to have children for the time being, the only way to get an unexpected pregnancy is to have an abortion as soon as possible. Currently, the more common abortion methods are divided into artificial abortion and medical abortion. Some women are afraid of surgery, but after using medical abortion, it has been fourteen days and 0.9cm is found to be left. I don’t know what to do?

What should I do if there is 0.9cm of residual material after 14 days of medical abortion?

Usually this situation requires a uterine curettage, and the sooner the better.

How much residual does abortion have without curettage?

Whether or not a uterine curettage is necessary cannot be determined simply based on the size of the drug residues, but also depends on the length of time the residues remain and the activity of human chorionic gonadotropin. Generally speaking, within ten days after medical abortion, if the size of the residue is between 0.8 cm and 1.0 cm, you can choose to use oxytocin biochemical granules and other drugs that promote uterine contraction, activate blood circulation and remove blood stasis to promote the excretion of the residue. If the residue is larger than 1.0 cm, or the residual time exceeds half a month, or the blood chorionic gonadotropin level is relatively high, a uterine curettage surgery must be performed.

What to do if there is residual villi after medical abortion

The purpose of medical abortion is to prevent the fetal sac from continuing to grow and develop in the uterine cavity and to expel it from the body through uterine contraction. If the fetal sac is seen being expelled during the medical abortion process, it can be considered that the medical abortion is basically completed.

However, since the decidua attached to the inner wall of the uterus has not been completely discharged with the gestational sac, the contraction of the uterus is affected and the bleeding will not stop immediately, especially in the first three days after miscarriage, when there is more bleeding, which will gradually decrease afterwards.

Generally speaking, the average number of days of bleeding after the expulsion of the gestational sac after medical abortion is 18 days. In some cases, the bleeding time may be longer. The reasons for the long bleeding time may be incomplete decidua detachment, affecting uterine contraction and hemostasis; or incomplete expulsion of the gestational sac, leading to incomplete abortion; a small number of patients are infected after medical abortion surgery, resulting in endometrial inflammation.

According to regulations, you should go to the medical abortion unit for a follow-up visit two weeks after the gestational sac is expelled. If the bleeding has not stopped at this time, urine pregnancy and delivery tests and B-ultrasound examinations are needed. Those diagnosed with incomplete abortion should undergo a curettage. Vaginal bleeding will stop within 10 days after the operation. If the bleeding does not stop, it is caused by incomplete decidua exfoliation, but the bleeding is not too much when you see the doctor. You can take Motherwort Paste or Gongxuening or Chinese medicine Shenghua Tang. These Chinese medicines can stop bleeding and reduce inflammation, and can help the uterus contract, thereby helping the uterus to expel intrauterine residues out of the uterus.