What will happen if the medicine does not clear the uterus?

Medical abortion is a common method of terminating pregnancy, but it can cause greater harm to women than other methods. Sometimes after a medical abortion, some uterine curettage surgery is still needed, and the impact will be even greater.

Can I avoid uterine cleansing after the embryo is expelled from the abortion?

If it is confirmed that the gestational sac has been completely expelled from the body, there is no need for a uterine curettage.

Curettage is different from abortion. It is used to remove the tissue remaining in the uterine cavity after incomplete abortion, help repair the uterus, and reduce the possibility of bleeding or infection. You can choose painless uterine curettage, but it depends on the medical level of the hospital you visit. Whenever artificial abortion is mentioned, people will naturally think of curettage, so curettage has almost become synonymous with artificial abortion. This is not the case. Curettage is only the most commonly used method for early abortion.

Although curettage does not require surgery, it is also a gynecological surgery and must be performed under strict disinfection. The operation is divided into two steps. The first step is to dilate the cervix to a sufficient size, and the second step is to use a curette to extend into the uterine cavity and scrape out the embryo. The longer the pregnancy lasts, the larger the fetus will be. At this time, the cervix needs to be dilated to the maximum limit to scrape out the fetus, so scraping the uterus becomes more difficult. At the same time, the longer the pregnancy lasts, the softer the uterus will become, and the chance of perforating the uterus during surgery will naturally increase. Therefore, generally speaking, curettage can only be used to scrape out the fetus within three months of pregnancy, and it is not advisable to use curettage after three months.

The dangers of medical abortion

1. It is easy to cause inflammation and infection: Since the embryonic sac tissue in the uterine cavity can be discharged on the same day after medical abortion, sometimes the pregnancy tissue is not completely discharged, the uterine membrane is not restored well, and the vaginal bleeding time is longer, which can last for 2-3 weeks or even 1-2 months. Long-term chronic blood loss can cause anemia and reduce the body's resistance. At this time, bacteria often travel back through the vagina and cause inflammation of the endometrium.

2. Causing habitual miscarriage: A failed abortion experience or multiple artificial abortions may seriously damage a woman's uterus and have a great impact on her future pregnancies. It may cause repeated damage to the endometrium, placenta previa, and heavy prenatal bleeding. Some women also experience habitual miscarriage due to multiple artificial abortions.

3. Cause infertility: Medical abortion can easily lead to fallopian tube blockage and cervical adhesion, causing infertility. Incomplete medical abortion and improper uterine curettage surgery may also cause infertility. Medical abortion causes excessive damage to the uterus and ovaries, and is therefore one of the causes of infertility.