Is bleeding 18 days after uterine evacuation considered menstruation?
Nov 14, 2023
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, bleeding that occurs 18 days after a uterine evacuation may be menstruation, or it could be related to factors such as retained products in the uterine cavity, poor uterine involution, intrauterine infection, or cervicitis. Patients are advised to follow medical instructions for symptomatic treatment. Additionally, endometritis may also be a possible cause. If patients experience any discomfort or symptoms, they should seek timely medical attention at a hospital to avoid delays in diagnosis and treatment.
Generally, bleeding that occurs 18 days after a uterine evacuation procedure may be menstrual bleeding, or it could be related to factors such as retained products in the uterine cavity, poor uterine involution, intrauterine infection, or cervicitis. Patients are advised to follow medical instructions for symptomatic treatment. The specific analysis is as follows:
1. Menstruation
Menstruation refers to cyclic endometrial shedding and bleeding associated with ovarian cyclical changes. If a patient experiences bleeding 18 days after uterine evacuation, and the amount of blood is small without other discomfort symptoms, it may indicate the onset of menstruation. In such cases, special treatment is usually unnecessary; adequate rest is sufficient.
2. Retained Products in the Uterine Cavity
If during the evacuation procedure, pregnancy tissue or blood clots remain in the uterine cavity due to improper surgical technique, recurrent bleeding may occur afterward. Under medical guidance, patients can take medications such as Yimucao Granules or Xinshenghua Granules for treatment.
3. Poor Uterine Involution
Poor uterine involution refers to a condition in which, after childbirth or abortion, weakened uterine contractions impair proper endometrial repair. If a patient has poor uterine involution, the aforementioned bleeding may occur. Treatment under medical supervision may include medications such as Baogong Zhixue Granules or Cefixime Tablets.
4. Intrauterine Infection
If an intrauterine infection develops after evacuation, inflammatory stimuli may cause endometrial congestion and edema, leading to bleeding. Under medical guidance, patients may be treated with medications such as Metronidazole Tablets or Levofloxacin Tablets.
5. Cervicitis
Cervicitis is an inflammatory condition. If inadequate hygiene after uterine evacuation leads to inflammation, cervical congestion and edema may result, causing bleeding. Under medical supervision, patients may use medications such as Azithromycin Capsules or Amoxicillin Capsules for treatment.
In addition, endometritis may also be a contributing factor. If patients experience any discomfort symptoms, they should promptly seek medical attention at a hospital to avoid delays in diagnosis and treatment.
