It's been two months since the induced labor, and there's still intermittent bleeding.

May 11, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Incomplete expulsion of residual tissue in the uterine cavity after induced abortion leads to persistent, intermittent vaginal bleeding, accompanied by abdominal pain and lower back discomfort. Improper care or resuming sexual intercourse too early allows pathogenic bacteria to enter the uterine cavity, triggering inflammatory infection. The presence of retained tissue or inflammation impairs uterine smooth muscle contraction, resulting in incomplete uterine involution and causing the aforementioned symptoms.

It has been two months since the induced labor, and the persistent intermittent bleeding is usually caused by retained products in the uterine cavity, uterine infection, or poor uterine recovery. It is important to promptly visit a hospital for an ultrasound examination to determine the cause and receive appropriate treatment. Specific analyses are as follows:

1. Retained Products in the Uterine Cavity

After induced labor, retained tissue within the uterine cavity that fails to be completely expelled can lead to prolonged, intermittent vaginal bleeding, often accompanied by abdominal pain, lower back soreness, and discomfort. Under medical guidance, medications such as Yimucao Granules or Xinshenghua Granules may be used to promote the expulsion of residual tissue.

2. Uterine Infection

Poor post-procedure care or resuming sexual intercourse too early after induced labor may allow pathogenic bacteria to enter the uterine cavity, triggering inflammatory infection and resulting in continuous vaginal bleeding. This condition is typically associated with symptoms such as abdominal pain and fever. Under medical supervision, anti-inflammatory treatment may include medications like Levofloxacin Capsules, Amoxicillin Capsules, or Cefixime Dispersible Tablets.

3. Poor Uterine Recovery

Due to retained tissue or inflammation affecting the uterus, impaired contraction of the uterine smooth muscle may result in incomplete uterine involution, causing the aforementioned symptoms. As directed by a physician, medications such as oxytocin, Yimucao Granules, or Shenghua Decoction may be used to aid uterine recovery.

In addition to the above causes, menstrual disorders due to endocrine imbalance may also be responsible. It is recommended to go to the hospital for examinations including pelvic ultrasound and sex hormone panel (six items) to identify the specific underlying cause and receive targeted treatment.