Twenty days after a medical abortion, there is yellow vaginal discharge without odor.

Medical abortion generally refers to terminating a pregnancy using medication. Twenty days after a medical abortion, the appearance of yellow vaginal discharge without odor may be caused by physiological factors or pathological conditions such as vaginitis or pelvic inflammatory disease. Appropriate management should be based on specific circumstances. The detailed analysis is as follows:

I. Physiological Factors

Medical abortion involves taking medications to induce abnormal uterine contractions, thereby expelling the gestational sac from the body and achieving termination of pregnancy. Twenty days after the procedure, as damaged tissues gradually heal, secretions produced by the vagina and endometrium are discharged from the body, forming normal vaginal discharge (leukorrhea). When this discharge is exposed to air and undergoes oxidation, its color may change, resulting in yellow-tinged discharge without odor. This condition is considered normal.

II. Pathological Factors

1. Vaginitis

If sexual intercourse occurs shortly after a medical abortion, the defensive function of the vagina may be compromised, allowing pathogens to multiply and disrupt the natural acid-base balance of the vagina. This can lead to increased local mucosal secretion, causing yellow discharge without odor. It is recommended to use medications such as Bofukang vaginal effervescent tablets or Nystatin vaginal effervescent tablets under a doctor's guidance.

2. Pelvic Inflammatory Disease (PID)

Poor personal hygiene or early盆 bathing after medical abortion may allow pathogens to enter the reproductive tract, triggering an inflammatory response that leads to infection of the pelvic cavity and surrounding connective tissues, resulting in pelvic inflammatory disease. This causes abnormal dilation of mucosal blood vessels, increased secretions, and the shedding of dead cells mixed with discharge due to inflammation, which may also produce this symptom. Patients are advised to take medications such as Levofloxacin Hydrochloride Capsules or Metronidazole Tablets as directed by a physician.

In addition, this symptom could also be caused by other conditions such as cervicitis, endometritis, or uterine fibroids. It is recommended to maintain good hygiene of the genital area in daily life and avoid excessive cleaning.