Fresh Red Blood Comes Out And Clots After Curettage?
Excuse me, please consult. I was pregnant at 6 weeks. On 05-12 – 2018 I was declared a miscarriage and curated. On 13-12 – 2018 I was advised that ultrasound control was declared clean by the doctor. The doctor said: may contact again if blood does not bleed, and delay dlu to get pregnant for one month. Pregnant delay can be by using birth control. After the control, there was no problem, so I had intercourse with my husband without using birth control so that the sperm was released outside, not inside. In one month I rarely get in touch. Date 10 – 01 – 2019 exactly one month from my control date 13 – 01 – 2018. On 10 – 01 – 2019 I bled fresh, lots of it. Stomach ache sometimes. On this day, 14 – 01 – 2019 there are lumps coming out like chicken livers and white. So, is it menstruation after curette ?? what comes out of the network is the rest of the curette from 05-12-12 2018 ?? Or am I pregnant again ?? My test pack is negative ..
Hali Lina, thank you for asking.
Dilation and curettage is an action to clean the tissue in the abortion process. In the process of curettage, abortion tissue is removed using a device to remove all tissue that is still attached to the uterine wall. Surely the action of curettage will cause injury to the blood vessels of the uterine wall. Bleeding after curettage is normal and generally occurs for 2-3 weeks. The duration of bleeding varies between individuals. Bleeding is also accompanied by lower abdominal pain such as menstrual pain. If the bleeding has been going on for more than one month and shows no sign of stopping, you should consider the possibility of:
tissue left behind in the uterus
torn wall or cervix
disorders of the blood clotting system
infection of the uterus or cervix
But from the description of the symptoms that you write down, you don't experience bleeding for too long after curettage. Ultrasound results also showed no tissue left behind. It is also possible that you have an infection in the reproductive organs, although this possibility will be smaller if you are not accompanied by fever or other symptoms. Another possibility is that it could be in the period after curettage until before bleeding occurs, you get pregnant again, but abortion returns. In early pregnancy, sometimes the test pack results are still negative. Many possibilities can occur, but to confirm the diagnosis, a direct examination by an obstetrician must be done. The doctor will conduct a physical examination and supporting examinations such as ultrasound.
In the meantime, try not to do too much physical activity to reduce the severity of bleeding. Contact your doctor immediately if time allows.
Thus the information that I can convey, hopefully can help find a solution. Regards.