How long does it take for the lochia on the body to be clean after medical abortion?

Medical abortion is a relatively convenient method of artificial abortion, but it is only for pregnant women before 49 days of pregnancy, because the success rate of medical abortion for pregnant women in this period is relatively high. Comparing medical abortion with surgical abortion, you will find that medical abortion saves the surgical step, but the success rate of medical abortion is greatly reduced. Women who choose medical abortion will experience lochia after taking the medicine. How long will this lochia last?

Generally speaking, after medical abortion, decidual tissue will be discharged, which is less than the usual menstrual volume and is dark red. There will be irregular vaginal bleeding for about 15 days after medical abortion, and the specific bleeding time varies from person to person. However, if the bleeding has not stopped for more than 2 weeks after medical abortion, and the amount of bleeding has not decreased, this may be caused by incomplete medical abortion. You should go to a regular hospital for examination immediately. If it is indeed incomplete medical abortion, a uterine curettage surgery is required.

In addition, in addition to incomplete medical abortion causing prolonged bleeding, the following two reasons can also cause prolonged bleeding after medical abortion:

Poor blood coagulation function: Some women are prone to bruises or bulges after slight bumps or pinches. This is most likely caused by poor blood coagulation function. Women with poor blood coagulation function will experience heavy bleeding or prolonged bleeding during medical or surgical abortion.

Uterine infection after medical abortion: If the B-ultrasound shows that there is no residue in the uterus, then long-term bleeding after medical abortion may be caused by uterine infection. Because the blood that flows out after medical abortion is a good culture medium for bacteria, and the bleeding time after medical abortion is long, if not properly cared for, uterine infection is likely to occur, causing prolonged bleeding.

What to do if bleeding lasts long after medical abortion

If the bleeding time after medical abortion is long due to incomplete expulsion of the gestational sac, resulting in incomplete abortion, you need to go to the hospital for a urine pregnancy test and B-ultrasound examination. If it is confirmed to be an incomplete abortion, you should undergo a uterine curettage. Generally, vaginal bleeding will stop within 10 days after the operation.

If the long bleeding time is caused by incomplete decidual exfoliation, but the amount of bleeding is not much, you can take motherwort or Chinese medicine Shenghua Tang, or inject oxytocin to promote uterine contraction to expel the remaining decidual tissue. If the amount of bleeding is more than the usual menstrual volume, the patient usually needs to go to the hospital for a uterine curettage.

It is worth noting that after a medical abortion, the amount of bleeding may suddenly increase significantly, even several times the normal menstrual volume, and may be accompanied by large blood clots. This is caused by the exfoliation and poor discharge of embryonic tissue. At this time, you should go to the hospital immediately for a uterine curettage to stop the bleeding.