What should I do if there is still bleeding on the 8th day after an abortion?

Spotting on the 8th day after an abortion may be caused by incomplete uterine involution, poor uterine contraction, or small amounts of retained tissue in the uterine cavity. This can be improved through rest and recovery, medication, or curettage. If bleeding increases or is accompanied by abdominal pain or fever, prompt medical attention is necessary.

1. Incomplete uterine involution: Slow postoperative recovery of the uterus and delayed endometrial repair can lead to prolonged bleeding, with variable blood loss. It is recommended to ensure adequate rest, avoid physical strain, gently massage the lower abdomen, and take medications that promote uterine contraction as prescribed by a doctor.

2. Poor uterine contraction: Weak uterine contractions after surgery fail to effectively compress blood vessels for hemostasis, resulting in prolonged bleeding. It is advised to rest in bed, minimize physical activity, avoid strenuous exercise, and use medications such as oxytocin injection, Yimucao granules, or Xinshenghua granules under medical guidance to improve symptoms.

3. Small residual tissue in the uterine cavity: Incomplete removal of pregnancy tissue during surgery; residual tissue irritates the endometrium, causing persistent bleeding, possibly accompanied by mild abdominal pain. Prompt medical evaluation is recommended. Small residues may be managed with medication to promote expulsion, while larger residues may require curettage.

4. Endometritis: Bacterial infection of the uterine wound surface after surgery causes inflammation, which interferes with endometrial healing, leading to persistent bleeding and possibly foul-smelling discharge. Under medical supervision, antibiotics such as cefixime dispersible tablets, metronidazole tablets, or Gynecological Qianjin tablets may be used to alleviate symptoms.

5. Cervicitis: Postoperative damage to cervical mucosa followed by bacterial infection leads to inflammatory irritation and prolonged spotting, possibly accompanied by dull lower abdominal pain and increased vaginal discharge. Under medical guidance, medications such as cefuroxime axetil tablets, Baofu Kang suppositories, or Kangongyan tablets may be used to manage symptoms.

Maintain external genital hygiene and frequently change sanitary products. Eat a light diet rich in high-quality protein. Avoid sexual intercourse and tub baths, and engage in moderate physical activity according to your recovery status to support uterine recovery and reduce abnormal bleeding.