What causes heavy menstrual bleeding after a uterine evacuation?
Disease description:
Abnormal vaginal bleeding may occur after surgical or medical abortion. The first heavy menstrual period following an abortion could indicate infection, hemorrhage, or other complications. Abnormal vaginal bleeding after abortion is rare in women. Less than 1% of women experience this complication after abortion. Then, what causes heavy menstrual flow after uterine evacuation?
Doctor's answer (1)
Dr. Zhao Xiaodong
The first menstrual period after a D&C (dilation and curettage) may have an unusually heavy flow, possibly due to uterine damage from the procedure and incomplete recovery of the uterus. During menstruation, poor uterine contractions can lead to excessive menstrual bleeding. In such cases, treatment focuses on enhancing uterine contractions; Motherwort (Leonurus japonicus), commonly used to promote uterine contraction, is often recommended. Prompt expulsion of blood from the uterine cavity helps reduce menstrual flow. Adequate rest is important, as excessive fatigue can increase bleeding. Additionally, maintain cleanliness and ventilation of the perineal area to prevent infection, and avoid sexual intercourse to reduce the risk of infection. If bleeding lasts longer than one week, it should be considered abnormal. Medical consultation is necessary, including a gynecological ultrasound, to evaluate potential causes and guide appropriate management.
