What should I do if bleeding continues after diagnostic curettage?

Generally, persistent bleeding after a diagnostic curettage may be caused by slow endometrial repair, improper postoperative care, endometritis, poor uterine contraction, or retained tissue in the uterine cavity. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through general management, medication, or other treatments. Specific analyses are as follows:

1. Slow endometrial repair: Individual differences in physical constitution may lead to weak endometrial regeneration and delayed wound healing, resulting in prolonged bleeding. Ensure adequate rest and avoid overexertion. Consume more high-quality protein-rich foods such as lean meat, eggs, and fish to promote endometrial recovery, and avoid strenuous exercise and heavy physical labor.

2. Improper postoperative care: Early tub bathing, sexual intercourse, or poor hygiene after surgery may cause local infection and impair wound healing. Wash the external genitalia daily with warm water, keep the area clean and dry, wear breathable cotton underwear and change it frequently, and refrain from tub bathing and sexual activity for one month after surgery.

3. Endometritis: Diagnostic curettage may introduce infection into the endometrium, causing inflammation that leads to blood vessel rupture and bleeding, often accompanied by abdominal pain and foul-smelling discharge. Follow your doctor’s instructions to take anti-infective medications such as Cefuroxime Axetil Tablets, Metronidazole Tablets, or Levofloxacin Hydrochloride Capsules. Maintain a light diet and avoid spicy or irritating foods.

4. Poor uterine contraction: Weak uterine contractions after surgery fail to effectively compress blood vessels to stop bleeding, which often appears as dark red blood. Under medical guidance, use medications such as Oxytocin Injection, Yimucao Granules, or Xinshenghua Granules to enhance uterine contractions. Additionally, gently massaging the lower abdomen can help strengthen contractions.

5. Retained tissue in the uterine cavity: Incomplete removal of endometrial or decidual tissue during curettage may stimulate ongoing uterine bleeding. A hysteroscopic procedure to remove residual tissue is required. This surgery allows precise localization and complete removal of retained tissue, preventing secondary infections or adhesions.

In daily life, maintain warmth in the abdominal area and avoid exposure to cold. Keep emotions stable and avoid anxiety or stress. Monitor the amount and color of vaginal bleeding, keep records, and bring them to medical appointments for reference. With standardized treatment and careful postoperative care, uterine recovery can be promoted and the risk of bleeding reduced.