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Why does the bleeding stop after just one day following a painless abortion, and what should be done?

Nov 27, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Under normal circumstances, the possibility of bleeding for only one day after a painless induced abortion may be related to individual differences, surgical effectiveness, intrauterine residue, endometritis, cervical stenosis, and other factors. If discomfort occurs, it is recommended to seek medical attention promptly and receive symptomatic treatment under a doctor's guidance. Patients are advised to maintain good postoperative habits and ensure adequate rest to help alleviate symptoms.

Generally, painless artificial abortion refers to painless induced abortion. Bleeding for only one day after painless induced abortion and then stopping may be related to individual differences, surgical effectiveness, intrauterine residue, endometritis, cervical stenosis, and other factors. If discomfort occurs, timely medical consultation is recommended for symptomatic treatment under a physician's guidance. Detailed explanations are as follows:

1. Individual Differences

Different women may have varying recovery speeds. Some women might stop bleeding shortly after undergoing painless induced abortion. Adequate rest, avoiding strenuous activities and sexual intercourse, is beneficial for physical recovery.

2. Surgical Effectiveness

When performed correctly, painless induced abortion can effectively control intraoperative bleeding and prevent excessive postoperative bleeding, potentially resulting in bleeding that stops within a day. Sufficient rest and nutritional supplementation after surgery are recommended.

3. Intrauterine Residue

If the embryonic tissue or decidua within the uterine cavity is not completely removed during painless induced abortion, these residual materials may affect uterine contraction and involution, leading to minimal or ceased bleeding. It may also be accompanied by symptoms such as abdominal pain and irregular vaginal bleeding. It is recommended to take medications under a physician's guidance, such as Motherwort granules, Xin Sheng Hua granules, or Shaofu Zhuyu granules, to alleviate symptoms.

4. Endometritis

Poor personal hygiene after painless induced abortion may lead to bacterial infection in the uterine cavity, causing endometritis, which affects uterine contraction and recovery, potentially leading to reduced or ceased bleeding. Symptoms may also include fever, abdominal pain, and increased vaginal discharge. It is recommended to use medications such as Metronidazole tablets, Doxycycline Hydrochloride tablets, or Levofloxacin Hydrochloride capsules under a physician's guidance to alleviate symptoms.

5. Cervical Stenosis

After painless induced abortion, if the cervix narrows due to infection or trauma, it may obstruct the smooth discharge of blood, resulting in reduced bleeding. It may also be accompanied by dysmenorrhea or difficulty menstruating. Cervical dilation procedures or cervical dilators may be used as directed by a physician to restore normal cervical dimensions.

Patients are advised to maintain good postoperative habits, including a light diet, attention to personal hygiene, and sufficient rest, which are beneficial for symptom relief.

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