If the abortion is not clean, that is, incomplete abortion, oral contraceptive pills are generally not recommended, usually need to be based on the size of the residue, the amount of bleeding and so on to decide whether to look forward to the treatment, medication, or the operation of the removal of the uterus, the specific treatment is decided by a professional doctor in accordance with the condition, do not blindly use their own medication, so as not to cause infection of the uterine cavity, bleeding, and other serious consequences.
According to the expert consensus on conservative treatment of incomplete abortion, the indications for drug treatment are: ① the duration of residual pregnancy is not more than 14 days; ② the diameter of the residual tissue is ≤ 2.5 cm; ③ the blood level of human chorionic gonadotropin is low. Prostaglandin drugs, mifepristone and traditional Chinese medicine are the main products, and the use of contraceptive pills is generally not recommended.
For patients with little vaginal bleeding, residue diameter <2.0 cm and no blood flow signals can also be taken expectant therapy, observation of 7-14 d or wait for the next menstrual period. However, expectant or conservative treatment course is long, with hemorrhage, infection, failure, need close follow-up, must be repeated within 2 weeks, according to the patient’s request can be converted to surgical treatment at any time.
If the following conditions occur during conservative treatment or anticipatory treatment, it is necessary to change the procedure to hysterectomy: (1) vaginal bleeding is more than the usual amount of menstruation; (2) there is a risk of infection; (3) the failure of conservative treatment; (4) serious allergic reaction to drugs.
Specific treatment should be chosen by professional doctors according to the patient’s situation, no matter which treatment is taken, there is a corresponding risk of complications, all need to regularly review the ultrasound and blood human chorionic gonadotropin, if there is still residual, may still need to be purged, and at the same time with anti-inflammatory drugs to prevent infection. You can’t use medication without authorization, so as not to affect the body’s recovery.