Symptoms of uterine recovery after abortion

Symptoms of uterine recovery after abortion include reduced vaginal bleeding, relief of abdominal pain, lighter lochia, disappearance of uterine contractions, and recovery of menstruation. Uterine recovery after induced abortion is a gradual process that requires comprehensive evaluation based on clinical manifestations and medical examinations.

1. Reduced vaginal bleeding

The amount of vaginal bleeding in the early postoperative period is similar to menstruation. As the endometrium repairs, the amount of bleeding gradually decreases to a drop-like pattern, which usually lasts 3-10 days. If the amount of bleeding suddenly increases or lasts for more than two weeks, it may indicate residual uterine cavity or infection, and ultrasound examination is required to confirm. At this time, you can use motherwort granules, new chemical granules and other drugs to promote uterine contraction as directed by the doctor, and perform uterine curettage if necessary.

2. Abdominal pain relief

Paroxysmal lower abdominal pain will occur due to uterine contraction after surgery, and the intensity will gradually weaken and basically disappear after 3-5 days. Persistent severe abdominal pain accompanied by fever may be complicated by pelvic inflammatory disease. A blood routine check is required and antibiotics such as cefixime dispersible tablets and metronidazole tablets need to be used. Daily pain can be relieved with hot compresses and strenuous exercise should be avoided.

3. Lochia becomes lighter in color

Lochia gradually changes from bright red to light red, serous, and finally white. This process lasts about 2-3 weeks. Abnormal lochia, such as purulent discharge with a foul odor, indicates infection and requires vaginal discharge examination. Keep the perineum clean, change sanitary napkins frequently, and use Gynecological Qianjin Tablets to regulate endocrine.

4. The feeling of uterine contraction disappears

The texture of the uterus returns to normal hardness after palpation. The fundus of the uterus descends 1-2 cm every day and descends into the pelvic cavity in 10-14 days. When the uterine body continues to enlarge due to poor uterine involution, intramuscular injection of oxytocin injection can be used to promote recovery, and infrared physiotherapy can be used to improve local blood circulation.

5. Menstruation resumes

Most patients resume menstruation 4-6 weeks after surgery. Menstruation may be irregular in the early stage, but will gradually become regular after 2-3 months. If menstruation has not returned for more than two months, intrauterine adhesions need to be ruled out, which can be adjusted through estrogen sequential therapy, such as Bujiale tablets combined with progesterone capsules.

After surgery, the vulva should be kept clean, tub bathing and sexual intercourse should be prohibited for 1 month, and nutritional intake of high-quality protein and iron-containing foods such as lean meat and animal liver should be strengthened. Take appropriate activities to promote the discharge of intrauterine hemorrhage, but avoid heavy lifting and strenuous exercise. Regularly review ultrasound to observe the thickness of the endometrium. If abnormal symptoms such as fever and heavy bleeding occur, seek medical attention immediately. Psychological support from family members is needed to prevent anxiety from affecting endocrine regulation.