What's the reason why there are so many menstrual blood clots after abortion?

The majority of menstrual blood clots after abortion may be related to factors such as incomplete endometrial repair, residual uterine cavity, hormone level disorders, poor uterine contraction or infection. It can be improved through drug conditioning, uterine curettage surgery, anti-infectious treatment and other methods.

1. Incomplete endometrial repair

Artificial abortion surgery will damage the endometrium. If there are fewer new blood vessels or insufficient gland regeneration during the repair process, it may lead to an increase in tissue fragments during peeling. The symptoms include dark red membrane-like substance mixed with menstrual blood, accompanied by dull pain in the lower abdomen. It is recommended to use estradiol valerate tablets to promote endometrial growth as directed by your doctor, or use motherwort granules to help uterine involution.

2. Remaining uterine cavity

When the pregnancy tissue is not completely removed, the remaining villi or decidual tissue may interfere with uterine contractions, causing the discharge of blood clots mixed with necrotic tissue. It is often accompanied by symptoms such as prolonged menstruation and heavy bleeding. Ultrasound examination can confirm the diagnosis, and mifepristone tablets to induce ovulation or hysteroscopic curettage should be selected according to the size of the residue.

3. Hormone level disorders

Abrupt termination of pregnancy through abortion surgery will cause progesterone levels to drop sharply, causing endocrine disorders. Menstrual blood may become darker in color and thicker. The cycle can be adjusted through short-acting contraceptive pills such as drospirenone and ethinylestradiol tablets, and usually can gradually resume after 2-3 menstrual cycles.

4. Poor uterine contraction

Surgical trauma or anesthesia may cause the contraction of the myometrium to weaken, causing menstrual blood to remain in the uterine cavity and form a clot before being discharged. Common blood clots are dark purple in color and hard in texture. You can use oxytocin injection to enhance uterine contractions as directed by your doctor, or take oral Xinsheng granules to improve blood circulation.

5. Infection

When endometritis is caused by improper postoperative care, inflammatory exudates mixed with menstrual blood can form purulent blood clots. It is often accompanied by symptoms such as fever and odorous discharge. Anti-infective treatment with metronidazole sodium chloride injection or ceftriaxone sodium is required after secretion culture.

After abortion, it is necessary to keep the perineum clean, wash the vulva with warm water 1-2 times a day, and prohibit bathing and sexual intercourse within 2 weeks. In your diet, eat more iron-containing foods such as pork liver and spinach, and avoid cold, spicy foods. An ultrasound should be reviewed 1 month after the operation to evaluate the recovery. If the blood clot lasts for more than 3 menstrual cycles or is accompanied by severe abdominal pain, fever and other symptoms, timely treatment is required to check for complications such as intrauterine adhesions. Properly performing Kegel exercises can help restore pelvic floor muscle function.