Take medicine to induce abortion for 20 days. Why is there a little blood?

Medical abortion mainly achieves the effect of abortion by taking drugs. Many people who have experienced medical abortion today know that after taking the medicine, blood clots and gestational sac will be discharged from the lower body. Usually this process is delayed and is generally completed within two weeks. However, some people still experience bleeding in their genitals 20 days after taking abortion pills. Then when I have this problem, you need to check it out. There may also be residues in the uterine cavity, which is very risky for women.

Normally, there will be irregular vaginal bleeding for about 15 days after medical abortion, and the specific bleeding time varies from person to person. But if the bleeding time after medical abortion exceeds 2 weeks or more, then you need to pay attention! So, what should I do if the bleeding time after medical abortion is long?

Since there are many reasons for prolonged medical bleeding, different measures should be taken according to different situations.

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 generally needs to go to the hospital for a uterine curettage.

The use of drugs to terminate pregnancy is the latest development in the past 20 years. Currently, the commonly used drugs are the combined use of mifepristone (Ru486) and prostaglandins. The former causes degeneration and necrosis of the uterine decidua and softening of the cervix, while the latter causes uterine contraction and promotes the expulsion of the embryo. Medical abortion is simple, effective, non-traumatic, and avoids the complications that may be caused by entering the uterine cavity. Currently used to terminate pregnancies up to 8 weeks.

◆You need to stay in the hospital for observation for 1 hour after the tissue is discharged. If the vaginal bleeding is not too much, you can go home and rest.

◆Rest adequately within 2 weeks after miscarriage, eat nutritious food, and avoid heavy physical labor.

◆Pay attention to the cleanliness of the perineum. Avoid bathing and sexual intercourse when vaginal bleeding has not stopped.

◆In the first 2 to 3 days after abortion, the amount of vaginal bleeding is generally equivalent to or slightly more than the menstrual amount. If the amount of vaginal bleeding is heavy or persistent, seek medical attention promptly.

◆For patients who have not seen tissue discharge, observe for 2 weeks after taking the medicine, and pay attention to whether there is any tissue discharge during defecation and urination. Weekly urine pregnancy tests.

◆Ovulation may resume soon after miscarriage, so contraceptive measures should be taken to avoid pregnancy again.