Is it necessary to have a curettage procedure after a medical abortion?

May 08, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, "ren liu" refers to an induced abortion procedure. Whether it is necessary to perform a uterine curettage procedure after an induced abortion depends on the specific circumstances. If the abortion procedure was performed properly and the uterus recovers well, a curettage is usually unnecessary. However, if there is a significant amount of residual tissue or infection occurs, a uterine curettage may be required. Patients should maintain good personal hygiene and frequently change and wash their underclothes after the procedure.

Generally speaking, "ren liu" (人流) refers to induced abortion. Whether it is necessary to perform a dilation and curettage (D&C) procedure after induced abortion depends on the specific circumstances. If the abortion procedure is performed properly and the uterus recovers well, a D&C is usually unnecessary. However, if there is a significant amount of remaining tissue or infection occurs, a D&C may be required. If any discomfort arises, prompt medical attention is recommended. Detailed explanations are as follows:

If the induced abortion is performed properly or the uterus has good contractile function, and the doctor successfully removes the gestational sac and associated tissues completely, with good uterine recovery, the retained blood clots and small amounts of residual tissue in the uterine cavity can usually be effectively expelled, thus generally making a D&C unnecessary.

If follow-up examination after surgery reveals larger residual tissue in the uterine cavity that cannot be expelled using medication, a D&C may be required to prevent bleeding and infection caused by the retained tissue. Additionally, if postoperative complications such as endometritis or intrauterine infection occur, and the inflammation affects normal uterine recovery, a D&C may help remove the source of infection, control the infection, and promote uterine recovery.

After surgery, patients should maintain good personal hygiene, frequently change and wash undergarments, rinse the external genitalia daily with warm water, avoid resuming sexual activity too soon, and prevent genital tract infections. Patients should also take prescribed medications on schedule, such as antibiotics and medications that promote uterine contraction, as instructed by their physician, to aid in physical recovery.

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How to Prevent Uterine Adhesions After Induced Labor

Under normal circumstances, postpartum adhesions can be prevented through standardized procedures, attention to personal hygiene, a balanced diet, medication interventions, and regular follow-up examinations. The primary cause of intrauterine adhesions after induced labor is damage to the basal layer of the endometrium. Therefore, it is essential to choose a qualified medical institution and have the procedure performed by an experienced physician to avoid excessive curettage or repeated insertion and removal of intrauterine instruments.

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What to do if a pregnancy results in a biochemical pregnancy

Under normal circumstances, a biochemical pregnancy, also known as biochemical miscarriage, is a type of early natural abortion. Most cases do not require special treatment, but scientific management is needed to promote recovery. Common management approaches include timely examination, monitoring changes in blood HCG levels, paying attention to rest and bleeding care, adjusting diet and emotional well-being, and investigating causes of recurrent biochemical pregnancies.

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What causes abdominal pain after medication abortion, and what should be done?

In general, the main causes of abdominal pain after medical abortion include uterine contractions, abdominal chilling, retained products in the uterine cavity, endometritis, and pelvic inflammatory disease. Patients can choose appropriate management methods such as conservative treatment, medication, or surgical intervention based on their specific conditions. In daily life, it is important to stay warm after a medical abortion and avoid exposure to cold; maintain external genital hygiene, and avoid tub baths and unhygienic sexual activity.

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What are the side effects of painless abortion?

Under normal circumstances, painless abortion—as a method of induced termination of pregnancy—may lead to side effects including bleeding, infection, uterine perforation, intrauterine adhesion, menstrual abnormalities, and others. Painless abortion should be performed at a正规 medical institution. After the procedure, it is important to follow medical advice for proper care, such as avoiding tub baths, abstaining from sexual intercourse for one month, and ensuring adequate rest and warmth, in order to reduce the risk of side effects.