Brownish discharge 32 days after medication abortion

Medical abortion, also known as drug-induced abortion, typically may result in brownish discharge 32 days after the procedure. This could be caused by menstruation, intrauterine residue, poor uterine involution, endometritis, or trichomonas vaginitis. Patients should promptly visit a正规 hospital for diagnosis and receive appropriate treatment based on their specific condition. Detailed analysis is as follows:

1. Menstruation

Usually, around 30 days after medical abortion, the endometrium regenerates and undergoes periodic shedding and bleeding due to ovarian cycle changes—this is menstruation. Initially, it may appear as brownish discharge, followed by increased bleeding similar to normal menstrual flow. No special treatment is required; close observation of menstrual changes is sufficient.

2. Intrauterine Residue

If embryonic tissue is not completely expelled from the uterus after medical abortion, residual material may remain inside the uterine cavity, potentially causing inflammatory reactions and brownish discharge. Once confirmed via examination, patients should undergo curettage at a正规 hospital.

3. Poor Uterine Involution

If there is no residual tissue in the uterine cavity but brownish discharge persists, this may indicate poor uterine involution or weak uterine contractions leading to minor bleeding. Under medical guidance, patients may use medications such as oxytocin injection, Yimucao capsules (Leonurus herb), or methylergonovine maleate injection to promote uterine contraction.

4. Endometritis

If personal hygiene is neglected after medical abortion, bacteria may travel upward from the vagina and infect the endometrium, resulting in endometritis and the aforementioned symptoms. Some patients may also experience lower abdominal pain, fever, and foul-smelling discharge. Under medical supervision, patients can take anti-infective medications such as doxycycline hydrochloride tablets, minocycline hydrochloride tablets, or azithromycin dispersible tablets.

5. Trichomonas Vaginitis

Engaging in unprotected sexual intercourse 32 days after medical abortion may directly transmit Trichomonas vaginalis, leading to trichomonas vaginitis. The parasite can multiply rapidly in the vagina and invade the vaginal mucosa, triggering inflammation and causing brownish discharge. Other symptoms may include vaginal itching, burning sensation, and malodorous discharge. Under medical guidance, patients may be treated with metronidazole suppositories, Baofukang suppositories, or clotrimazole vaginal tablets.

In daily life, patients are advised to maintain a balanced diet, ensure adequate sleep, and avoid excessive fatigue.