What should I do if I experience bleeding half a month after an abortion?

In general, "induced abortion" refers to an artificial abortion procedure. Bleeding occurring half a month after the surgery may be caused by hormonal fluctuations, expulsion of postoperative residual tissue, poor uterine involution, postoperative infection, or endometritis. When these conditions occur, treatment under a doctor's guidance—such as general management or medication—may be used. Specific analyses are as follows:

1. Hormonal Fluctuations

After an induced abortion, hormonal levels in the body may fluctuate, leading to light bleeding. It is important to maintain emotional stability and avoid excessive fatigue.

2. Expulsion of Postoperative Residual Tissue

Following surgery, parts of the decidua or blood clots may remain inside the uterus and gradually be expelled. Monitor the bleeding; if it gradually decreases, no special intervention is usually required.

3. Poor Uterine Involution

Poor uterine contraction after the procedure can lead to prolonged, persistent bleeding. Symptoms such as lower abdominal pressure or pain may also occur. Under medical advice, patients may take medications such as Yimucao Granules, Gongxinning Capsules, or Xuefu Zhuyu Capsules to improve symptoms.

4. Postoperative Infection

Bacteria may enter the uterine cavity after surgery, causing infection and resulting in heavy bright red bleeding. This may be accompanied by symptoms such as abdominal pain, fever, and abnormal vaginal discharge. Patients should follow medical advice and use medications such as Cefradine Capsules, Azithromycin Tablets, or Metronidazole Tablets for treatment.

5. Endometritis

If postoperative infection is not treated promptly, it may progress to endometritis, causing prolonged continuous bleeding. This condition is typically accompanied by severe abdominal pain, fever, and foul-smelling discharge. It is recommended to use medications such as Ornidazole Tablets, Roxithromycin Capsules, or Fluconazole Capsules under a doctor’s supervision to relieve symptoms.

To prevent post-abortion bleeding, it is advised to rest adequately after surgery, maintain external genital hygiene, and avoid sexual intercourse.