Bleeding after pregnancy from in vitro fertilization

Apr 23, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
For in vitro fertilization (IVF), patients must continue taking hormonal medications under a doctor's guidance to maintain adequate hormone levels. Bleeding may occur due to low hormone levels resulting from failure to follow medical instructions. Low progesterone levels can lead to threatened miscarriage, causing bleeding. Additionally, if the patient has cervical inflammation, inflammatory stimulation can cause congestion, edema, and fragility of the cervical mucosa, making it prone to bleeding—this type is classified as inflammation-related bleeding.

The main causes of bleeding after pregnancy through in vitro fertilization (IVF) include failure to follow medical instructions for medication, threatened miscarriage, or cervical inflammation. It is necessary to go to the hospital for ultrasound and blood HCG tests to determine the cause before treatment. Specific analyses are as follows:

1. Failure to follow medical instructions for medication

After IVF, patients need to continue taking hormonal medications under a doctor's guidance to maintain proper hormone levels. Bleeding may occur due to low hormone levels resulting from not following prescribed medication regimens. It is important to strictly follow medical advice and continue taking medications such as progesterone capsules, dydrogesterone tablets, and estradiol valerate tablets.

2. Threatened miscarriage

Bleeding can result from threatened miscarriage caused by poor ovarian function and low progesterone levels. Under a doctor’s supervision, medications such as progesterone capsules, dydrogesterone tablets, and fetal preservation pills may be used for maintaining the pregnancy.

3. Cervical inflammation

If a woman already has cervical inflammation, inflammatory stimulation can lead to congestion, edema, and fragile cervical mucosa that bleeds easily—this type of bleeding is due to inflammation. Close monitoring is recommended; if bleeding is minimal, treatment of the inflammation can usually wait until after delivery.

In addition to the above reasons, bleeding could also be caused by a molar pregnancy. It is recommended to visit the obstetrics and gynecology department of a hospital for ultrasound and blood HCG testing. The exact cause and source of the bleeding must be identified before initiating appropriate treatment.


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