Is there still bleeding after the fetal sac is expelled?

After medical abortion, the gestational sac will gradually be discharged. At this time, there will be some bleeding in the vagina. Don't worry at this time. Generally, the bleeding will gradually stop in about ten days. Of course, you should also pay attention. If the bleeding continues, you should be alert. It may be an incomplete abortion or an intrauterine infection. You should go to the hospital for a formal examination in time.

Is there still bleeding after the fetal sac is expelled?

Because 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. Generally speaking, the average number of days of bleeding after the expulsion of the gestational sac in medical abortion is 18 days. The reasons for the long bleeding time may be incomplete decidual exfoliation, which affects 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 and suffer from 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. If the diagnosis of incomplete abortion is made, a curettage should be performed. Vaginal bleeding will stop within 10 days after the operation. If the bleeding does not stop due to incomplete decidual exfoliation, but the bleeding is not much when you see the doctor, you can take motherwort paste or Chinese medicine Shenghua Tang, or you can inject oxytocin intramuscularly to promote uterine contraction to expel the remaining decidual tissue.

Patients whose bleeding exceeds their menstrual volume generally require uterine curettage. Some patients believe that if they suffer from excessive bleeding after medical abortion, they can simply take hemostatic drugs such as Anluoxue and Zhixuemin. This is incorrect. Because hemostatic drugs achieve the purpose of stopping bleeding by changing the body's coagulation mechanism, they cannot expel residues in the uterine cavity and therefore cannot fundamentally solve the problem.

Bleeding will stop only when the embryonic tissue in the uterine cavity is basically discharged and the uterus contracts well. It is worth noting that women who have undergone medical abortion sometimes suddenly experience a significant increase in bleeding, which may be several times the amount of menstrual bleeding, accompanied by large blood clots. This is caused by the exfoliation of embryonic tissue and poor excretion. At this time, they need to go to the hospital immediately for a curettage to stop the bleeding.

Reminder: Medical abortion can cause certain harm to the body, so do not regard it as a contraceptive measure. Medical abortions have been performed too many times. It can easily cause infertility and other complications. It is recommended that female friends take protective measures before having sex.

How to take abortion pills

Mifepristone tablets and misoprostol tablets are commonly used drugs for abortion. How to take these two abortion pills?

On an empty stomach or 2 hours after eating, take one 25mg mifepristone tablet orally, once in the morning and once in the evening for a total of three days. On the morning of the fourth day, take 600ug misoprostol tablets orally (200ug/tablet × 3 tablets).

Generally, the embryonic sac in the uterine cavity can be discharged about 2-3 days after the use of mifepristone tablets and misoprostol tablets, while the decidual tissue in the uterus often takes about 2 weeks to be slowly discharged.