Bloody discharge after an abortion
Abortion is a procedure for the artificial termination of pregnancy.
Bloody discharge after an abortion is a variant of the norm, regardless of the method used to terminate gestation. By the nature of the discharge, it is possible to determine the development of complications in a woman's body after an interrupted pregnancy. What discharge after an abortion is considered the norm? What is the average duration of discharge after different types of abortions? What to do if there is an unpleasant odor discharge after an abortion?
Bloody discharge after abortion: rates after different types of abortions
Abortion is a medical procedure for the artificial termination of pregnancy, carried out either by the traditional surgical method (curettage), or by drug stimulation of the rejection of the ovum and its removal from the uterine cavity. Regardless of the method of termination of pregnancy, spotting after an abortion is a variant of the norm. For a clearer understanding of a woman's condition after an abortion, it is necessary to understand what happens during the procedure itself.
Bloody discharge after an abortion performed by traditional surgery occurs most often as a result of injury to the inner layer of the uterus (endometrium) during curettage, or the cervical canal of the uterus during its dilatation. To introduce the necessary instruments into the uterine cavity for rejection of the fetus, it is necessary to expand the cervical canal. The inner lining of the canal and the uterine cavity is rich in blood vessels. Mechanical damage to the inner layer leads to the appearance of bloody discharge after an abortion.
The bleeding is usually more profuse than normal menstruation. The duration of the discharge reaches 10 days. During this period, the discharge becomes smearing. Many women report having small, dark blood clots. After an abortion, discharge may be accompanied by cramping pains, which is explained by the contractile activity of the uterus and its reduction to its previous size.
When carrying out a mini abortion using a vacuum aspirator, the discharge is not so intense due to less mechanical damage to the inner membranes of the uterus. This type of abortion does not require dilatation (widening of the cervical canal), which also leads to less tissue damage.
Bloody discharge after an abortion with the use of medications is somewhat different in nature and duration. The essence of medical abortion is reduced to the sequential intake of drugs that provoke miscarriage (the fetus is rejected from the uterine wall and removed from its cavity) without any surgical intervention. Removal of the fetus occurs against the background of bleeding. The discharge is usually mild, clotted, accompanied by cramping pains. Abundant spotting gradually takes on a smearing character.
Blood discharge after abortion: nature, duration, symptoms of complications
How to determine the development of complications by the nature of bloody discharge after an abortion? Bloody discharge after termination of pregnancy is the norm due to detachment and excretion of the fetus, mechanical damage to tissues, changes in hormonal levels in the body.
If the bleeding after an abortion becomes bleeding (abundant bleeding, requiring a change of sanitary napkin more often than 1 time per hour), then this condition may be a symptom of severe trauma to the uterine wall up to perforation (rupture of the uterine wall with possible damage to the abdominal organs). In this case, the patient should immediately seek emergency medical attention. Such bleeding usually develops in the first hours after the procedure, but in rare cases, with an early spasm of the cervix, discharge after an abortion may appear after a few hours. Such discharge can be considered a variant of the norm, if their abundance gradually decreases.
The absence of bleeding after an abortion is also an alarming symptom that requires immediate hospitalization. In this case, the risk of internal bleeding remains.
Abundant bloody discharge after an abortion may also indicate incomplete removal of the ovum from the uterus. This condition is accompanied by painful sensations in the lower abdomen. The remains of the ovum can provoke the development of the inflammatory process. For the complete extraction of the remains of the fetus, curettage is necessary, regardless of what method the pregnancy was terminated by.
Incessant spotting after an abortion, acquiring a brownish tint, indicates the development of endometritis - inflammation of the uterus, which in most cases is provoked by the penetration of infection from the vagina. The wound surface provides ideal conditions for bacterial growth.
The development of infection in the genital tract is also indicated by discomfort in the vagina, painful sensations, itching, and an unpleasant odor.
The nature of the discharge after an abortion, how many days the discharge lasts, as well as the accompanying symptoms differ depending on the method of termination of pregnancy, as well as the timing at which gestation is interrupted. So, the most dangerous is the termination of pregnancy in the second trimester. The scale of damage to the walls of the uterus and cervical canal is increasing. Late abortions are accompanied by the most abundant discharge. The risk of bleeding remains. A mini abortion is accompanied by the least bleeding, while after a medical abortion, the discharge becomes bleeding and can last up to 10 days, which is a variant of the norm.
What to do if there is a yellow, brown, odorless discharge after an abortion
In the absence of complications and normal rehabilitation of the female body after an abortion, there is odorless discharge, bloody or scarlet, without impurities and clots (permissible only in the first 2-4 hours after the procedure). Some patients note that after the cessation of bloody discharge after an abortion, discharge of a yellow or brown color with an unpleasant odor appears. Particular attention should be paid to the nature of such discharge after an abortion, how many days they last, as well as the accompanying symptoms. The presence of an unpleasant odor, the acquisition of a yellowish or brown discharge against the background of general malaise, fever, severe pain in the lower abdomen are the reason for an urgent visit to the doctor. Chronic endometritis develops in most patients after surgical abortion. This disease is one of the causes of infertility in women. Infection of the uterus requires careful examination and selection of appropriate medication. Any infection of the genital tract also carries the risk of developing infertility.
Regardless of the method of termination of pregnancy, a woman should be under the supervision of doctors until she fully recovers.
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