Does thick endometrium need uterine curettage after medical abortion?

Whether or not a thick endometrium needs to be cleaned after medical abortion depends on the specific situation. The treatment methods vary according to different symptoms and signs.

1. If the endometrium thickens after medical abortion, but there are no obvious symptoms such as abdominal pain and vaginal bleeding, no special treatment is usually required. This situation is mostly caused by excessive endometrial hyperplasia after abortion, which usually resolves on its own after 1 to 2 menstrual cycles. At this time, the recovery can be monitored through observation and regular review.

2. After medical abortion, the endometrium thickens and is accompanied by irregular vaginal bleeding. However, if the symptoms are mild, medication can be used to relieve the symptoms. The doctor may prescribe some menstrual regulation drugs or hemostatic drugs. Such treatment is usually effective and does not require uterine curettage. In order to recover better, patients should follow the doctor's advice, take medication on time and have regular checkups.

3. If the endometrium thickens significantly after medical abortion, and the menstrual period is prolonged and the amount of menstrual blood increases, this situation is likely to cause complications such as hemorrhagic anemia. When conservative treatment is ineffective, a uterine curettage may be required. There are two types of uterine curettage: ordinary uterine curettage and minimally invasive uterine curettage under hysteroscopy. The specific choice of surgical method needs to be determined based on the patient's specific situation and the doctor's advice. Minimally invasive uterine curettage under hysteroscopy is less traumatic and has a faster recovery, making it a more ideal choice.

4. During the recovery process after medical abortion, it is also important to maintain good living habits. Pay attention to rest, avoid excessive fatigue and strenuous exercise, maintain a balanced nutrition, and eat more iron-rich foods such as red meat and green leafy vegetables, which will help prevent anemia. Keep a happy mood and avoid excessive mood swings, which will also have a positive effect on the body's recovery.

5. Regular follow-up is an important part of the recovery process after medical abortion. Through B-ultrasound and other examination methods, changes in the endometrium can be detected in time to ensure that there is no residual tissue. At the same time, regular follow-up can also help doctors adjust the treatment plan in time to ensure the patient's healthy recovery.

Whether endometrial thickening after medical abortion requires uterine curettage depends on the specific symptoms and signs. This condition can be effectively managed and treated through observation, medication, and, if necessary, uterine curettage. Maintaining good living habits and regular checkups can help patients recover better.