Heavy and prolonged bleeding after abortion, what to do?

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Tran Lam Khoa - Department of Obstetrics and Gynecology - Vinmec Central Park International General Hospital.
Bleeding after aspiration is the result of the uterine muscles not contracting or the blood vessels not constricting to stop the bleeding. If bleeding is profuse, prolonged, extremely dangerous, it is necessary to visit a gynecologist to avoid possible complications.

1. Heavy bleeding after abortion

Normally, after an abortion, a woman will have symptoms of bleeding for about 5-10 days, the amount of blood will decrease day by day and then the bleeding will stop, possibly accompanied by abdominal pain due to uterine contractions. Squeeze if heavy bleeding or pain or high fever. In addition, because the body and the recovery state are different for some women, some cases will last for a few more days.
Abortion after 2 weeks still bleeding is likely due to an infection of the uterus, cervix or vagina. Because when the amount of blood comes out, if the pregnant woman does not clean thoroughly, it will be a favorable environment for the parasites to attack and cause infection.

2. Prolonged bleeding after abortion

If the abortion after 2 weeks is still bleeding, the blood has a strange color such as black, foul, clots with severe abdominal pain, illness, high fever... Need to go to a medical facility immediately, because there is a high possibility that you are suffering from one of the following complications:
Miscarriage, retained placenta Symptoms are severe repeated abdominal pain accompanied by heavy bleeding, dark red, with very large blood clots. If abortion at some poor quality facilities, women are very likely to have missed pregnancy, missed placenta... this means that the abortion has not been successful, women need to immediately go to some medical center to have a medical diagnosis. complete cure and abortion.
Infection Maybe because medical instruments are not sterile or women do not clean the intimate area, it is easy to get pregnant with blood infections, gynecological infections. The characteristic phenomenon is bleeding "private area" with red color, stench or yellow discharge, excessive abdominal pain, cold... If the infection is left for a long time upstream to the fallopian tubes, ovaries... can lead to the risk of not having children, or having an abortion that causes infertility.
Damage to the uterus This is an extremely dangerous consequence to the future reproductive health of women. If the abortion procedure is carried out by poorly qualified specialists, it is easy to face the risk of uterine perforation, uterine adhesions...
Hemorrhage Post-abortion bleeding is one of the complications that are easily encountered. if abortion is not safe. These are very dangerous symptoms because they cause the body to lose a large amount of blood, which will be life-threatening if not treated promptly.
Hemorrhage causes the female genital organs to bleed a large amount of blood, the bleeding is profuse, massive, the blood may be thin or mixed with blood clots. Severe, persistent abdominal pain. Systemic symptoms due to blood loss such as: dizziness, headache, dizziness, low blood pressure, vomiting, nausea, hemorrhagic shock...
Therefore, to know for sure you have a successful abortion, You should go back to the doctor for timely treatment if the pregnancy has not been completely aborted.

3. What should be checked after abortion?

At the follow-up visit after the abortion, the pregnant woman will have a gynecological examination so that the doctor can check if the uterus has recovered well? Are there signs of a genital tract infection? Are there any other signs of vaginal bleeding? From there the doctor will prescribe treatment (if necessary).
If you don't re-examine, you won't be able to detect abnormalities and complications after abortion, which can easily lead to inflammation, adhesions to the uterus and affect the reproductive function later. In addition, you also need to have a reasonable lifestyle, rest and periodic health check to be proactive in protecting your personal health.
In order to help customers detect and treat gynecological diseases early, especially after abortion, Vinmec has deployed a package of basic gynecological examination and screening, helping customers detect diseases early Infections are easy and inexpensive to treat. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding.

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