Is it okay not to do a gynecological examination before abortion? You should know these gynecological common sense before abortion

Normally, there are many bacteria in the vagina, and bacteria also grow in the lower 1/3 of the cervical canal. However, because there is a cervical mucus plug in the cervical canal, the uterine cavity and the vagina are separated, so these bacteria cannot easily enter the uterine cavity. During artificial abortion, surgical instruments need to pass through the vagina and cervix to enter the uterine cavity. Although strict surgical operation regulations are followed and the surgical instruments do not touch the vaginal wall, the cervical canal and the internal cervical opening are expanded during the operation, providing an opportunity for bacterial ascending infection; moreover, bacteria may also enter the uterine cavity directly with the surgical instruments. This is why infection may occur after artificial abortion.

We know that there are many bacteria growing in the vagina, and the bacteria are usually in a symbiotic state, inhibiting each other and not causing disease. When vaginitis occurs, the balance between these bacteria is broken, and some bacteria overgrow and become pathogenic. If an artificial abortion is performed without treatment at this time, the chance of pathogenic bacteria entering the uterine cavity will increase, making postoperative infection more likely to occur.

Therefore, one of the purposes of routine gynecological examination and vaginal secretion testing before artificial abortion surgery is to promptly detect potential diseases that can cause postoperative infection and provide treatment to ensure the safety of the surgery and the postoperative period.