Do I need to have my uterus cleaned after a 70-day medical abortion?

Contraceptive failure or sex without contraception can easily lead to an unexpected pregnancy. Most women will terminate the pregnancy through abortion after an unexpected pregnancy. Some women with an unexpected pregnancy are very afraid of abortion surgery, so they will choose medical abortion. Although medical abortion does not require surgery, it can easily lead to incomplete abortion and requires uterine curettage. Do you need to have a uterine curettage after 70 days of medical abortion?

Do I need to have my uterus cleaned after a 70-day medical abortion?

A follow-up examination is required after medical abortion. If there is no residue, there is no need for uterine curettage. If there is any residue, the uterus needs to be cleaned up as soon as possible. Otherwise, the residues remaining in the uterus will affect the contraction and involution of the uterus, causing long-term bleeding, which can easily lead to endometritis or endometrial adhesions, fallopian tube adhesions, pelvic inflammatory disease, etc. In severe cases, it may lead to infertility. Therefore, whether to have a uterine curettage after medical abortion 70 days later depends on the results of the follow-up examination.

After medical abortion, the average number of days of bleeding after the fetal sac is expelled is 18 days. If someone is still bleeding for more than 18 days, it may be that the decidua is not completely detached, affecting uterine contraction and hemostasis; or the fetal sac is not completely expelled, leading to incomplete abortion; a small number of patients are infected after medical abortion surgery, resulting in endometrial inflammation. If there are residual objects that are not cleared from the uterus, vaginal bleeding will be prolonged, thereby increasing the chance of infection. If ascending infection is caused, resulting in blockage of the fallopian tubes, pregnancy will be affected.

In order to recover as quickly as possible after medical abortion, you must pay attention to the following issues: Do not have sexual intercourse within one month after medical abortion to avoid infection; Do not take a bath after medical abortion to avoid reproductive tract infection. When washing your hair or taking a bath, make sure to use hot water, get enough rest, eat light food, avoid spicy food, and pay attention to strengthening nutrition. If there is excessive bleeding, you can eat some blood-enriching food appropriately.

From this we can see that whether or not you need to do a curettage after medical abortion in any situation depends on whether there is any residue during your follow-up examination. If necessary, you cannot delay it. This is to be responsible for yourself. In fact, no matter what form of abortion it is, it will cause great harm to women's bodies, so our female friends must protect themselves and stay away from abortion.