Is it normal to have a uterus of 72mm after medical abortion?

If a pregnant woman does not plan to have a child, she can choose medical abortion or surgical abortion. If the pregnancy is not long, and conditions permit, medical abortion can be chosen, which is relatively safer. But some women do not have a clean abortion after medical treatment, so they have to undergo surgical curettage. Is it normal for the uterus to be 72cm after medical curettage? Generally speaking, it takes about half a month to recover after medical abortion, otherwise you can only have a uterine curettage surgery.

Does curettage after medical abortion cause serious damage to the uterus?

Generally speaking, the bleeding time after medical abortion is about 15 days. Generally speaking, the cause of bleeding is the remnants of chorionic tissue and intrauterine decidua. Therefore, if the vaginal bleeding after surgery is too long or too long, it is necessary to consider whether it is a failure of medical abortion. The success rate of medical abortion is only 90%, so the 10% of failures will face another uterine curettage. Some women also experience heavy bleeding due to retention of fetal tissue after medical abortion, and at this time they need emergency uterine curettage. The following women need uterine curettage after medical abortion. Improper uterine cleaning is harmful to women's body:

1. Cervical or endometrial adhesion: During uterine dilatation and curettage, if the scraping is too rough, causing injury or inflammation of the cervix or endometrium, it is possible to produce postoperative cervical or endometrial adhesions and cause menstrual abnormalities, such as amenorrhea or too little menstrual flow. In severe cases, infertility may occur in the future.

2. Incomplete abortion: If the operation is not performed completely, a small amount of fetal tissue will remain in the uterus, which may affect uterine contraction and cause continuous bleeding or cause adhesion, infection, etc. It is best to perform another careful surgery to remove the remaining tissue. Abnormal position or shape of the uterus is generally more likely to cause this sequelae.

3. Bacterial infection: If the instruments are not completely sterilized, or the surgeon himself does not pay attention to the aseptic process, it may cause intrauterine infection and even continue to spread upward to invade the fallopian tubes and pelvic cavity. In severe cases, it may cause ectopic pregnancy or infertility in the future.

According to the B-ultrasound results you described, it is within the normal range. If the amount of bleeding is comparable to the amount of menstruation, there is no need for uterine curettage now. It is impossible to know whether the fallopian tubes are blocked from B-ultrasound. Abortion may cause infertility

It is recommended that vaginal bleeding generally begins 30 hours after taking oral abortion pills and lasts for 1 to 16 days.

Follow-up should be conducted 8 to 15 days after taking the medicine to determine the abortion effect. Ultrasound examination can be performed if necessary. If the diagnosis is a failed or incomplete abortion, vacuum aspiration should be performed to terminate the pregnancy or uterine curettage.