Can endometrial residue after induced abortion heal spontaneously?

Generally, "ren liu" refers to induced abortion. Whether uterine cavity residue after induced abortion can heal spontaneously depends on the specific situation. If the residue is small and the uterus contracts well, it usually can resolve naturally; however, if the residue is large or in significant quantity, it may not heal spontaneously. If discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:

Induced abortion refers to terminating a pregnancy by medical means. If the residue consists of small pieces of decidua or blood clots, and the woman's uterus contracts well, with a strong physical condition and good uterine involution and self-repair capabilities, the residue may be spontaneously expelled naturally through uterine contractions, achieving self-healing.

However, if the residue is large or in significant quantity, or the woman has a weak constitution with poor uterine involution and self-repair capability, the residue may not be spontaneously expelled or absorbed. Additionally, if the residue is accompanied by infection, it may lead to serious health complications, such as persistent bleeding or spreading infection, in which case spontaneous healing is unlikely. In such cases, treatment under a physician's guidance with medications such as Motherwort Granules, Xin Shenghua Granules, or Qianzhi Capsules may be considered. Alternatively, a dilation and curettage (D&C) procedure may be performed as directed by a physician to completely remove the residue and prevent complications such as intrauterine infection and continuous bleeding.

After induced abortion, close attention should be paid to physical condition. If abnormalities such as fever, abdominal pain, or increased vaginal bleeding occur, prompt medical attention should be sought. Additionally, adequate rest should be taken, excessive fatigue and strenuous exercise avoided, the external genital area should be kept clean, and sexual intercourse and tub bathing should be prohibited to promote physical recovery.