Is it harmful to have a uterine curettage after medical abortion?

Some women will choose medical abortion after an unexpected pregnancy, but when doing so, they must choose the best time so that the effect will be best. If the method of medical abortion is inappropriate, it will lead to an unclean abortion, and uterine cleaning is needed at this time. This is relatively harmful to the uterus, and it is easy to cause mucosal adhesions in the uterus and induce bacterial infection.

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 cause 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 contractions and cause continuous bleeding or cause adhesions, infections, 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 result in ectopic pregnancy or infertility in the future.

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.