Vaginal bleeding after hysteroscopic abortion

Vaginal bleeding after hysteroscopic abortion is a common phenomenon after surgery, usually lasting 1-2 weeks. If the amount of bleeding is excessive or the bleeding lasts too long, you need to seek medical attention in time. The cause of bleeding may be related to postoperative endometrial repair, infection or surgical operation. Hemostasis, anti-infection or further examination and treatment should be taken according to the specific situation.

1. Causes of vaginal bleeding after hysteroscopic abortion

During the postoperative endometrial repair process, incomplete closure of blood vessels may cause a small amount of bleeding, which is normal. If the amount of bleeding is large or lasts for a long time, it may be related to infection, residual tissue in the uterine cavity, or surgical injury. Infection may be caused by improper postoperative care or preoperative inflammation, residual tissue in the uterine cavity may cause continuous bleeding, and improper surgical operation may damage the endometrium or cervix.

2. Treatment method

Minor bleeding can be relieved by resting, avoiding strenuous exercise, and keeping the vulva clean. If the amount of bleeding is large or accompanied by abdominal pain, fever and other symptoms, you need to seek medical attention in time. The doctor may recommend taking hemostatic drugs such as tranexamic acid, or using antibiotics such as cephalosporins to prevent infection. For residual tissue in the uterine cavity, a second uterine curettage may be required. Regularly check B-ultrasound after surgery to ensure that the uterine cavity has recovered well.

3. Preventive measures

Perform a comprehensive examination before surgery to exclude the risk of infection. Pay attention to personal hygiene after surgery and avoid bathing and sexual intercourse for at least two weeks. Eat more foods rich in protein and vitamins, such as eggs, milk and fresh vegetables, to promote physical recovery. Appropriate light activities, such as walking, are helpful for blood circulation and endometrial repair.

Although vaginal bleeding after hysteroscopic abortion is common, the amount and duration of bleeding should be closely monitored. If abnormal symptoms occur, seek medical attention in a timely manner to avoid delaying treatment. Postoperative care and regular follow-up are crucial to recovery. Patients should follow the doctor's advice and maintain good living habits to promote recovery as soon as possible.