Can the uterus naturally expel retained tissue after abortion?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Here is the explanation:

1. Heterogeneous mixed echogenic content in the endometrium means there are tissues or materials inside the uterine cavity that are not uniform, likely a mix of blood, clot, and possibly retained tissue.

2. Internal vascularity and adjacent myometrial vascularity mean blood flow is seen inside the material and extending into the uterine wall. This is important because it indicates that the tissue is still alive and connected to the blood supply, suggesting retained products of conception (RPOC) rather than just old blood or clots.

3. Suggestive of RPOC in the present clinical scenario means the sonographer is concluding that retained placental or pregnancy tissue is very likely the cause of your continued bleeding.

What this means clinically is persistent bleeding after a delivery, miscarriage, or abortion, combined with this ultrasound picture, is most consistent with RPOC.

This can lead to:

1. Continued or heavy vaginal bleeding.

2. Pelvic pain or cramping.

3. Sometimes, fever or infection (if the tissue becomes infected).

I suggest you follow the mentioned management plan:

1. Tablet Misoprostol (prostaglandin E1 analogue), 400 micrograms, one tablet in the morning and at night for three days. This medicine will expel the RPOCs. Do not worry.

2. Tablet Augmentin (Amoxicillin and Clavulanic Acid), one gram, one tablet in the morning and at night for three days.

3. Tablet Metronidazole (antibacterial and antiprotozoal agent) 400 milligrams, one tablet in the morning, evening, and night for three days.

I suggest you consult a specialist, talk with them, and take the medications with their consent.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

Yes, the size of RPOCs is small, so you do not need to do suction and evacuation. There is a high chance that the retained products of conception will come out without medication.

However, the reason I gave you the medicine is at least to increase that chance, so you should take the medicine as follows:

1. Take the tablet Misoprostol in the morning and at night for three days. After that, when the bleeding stops, repeat the ultrasound report.

2. Take one tablet Ferrous Sulphate 200 milligrams, one tablet at night for two months. This is iron to prevent anemia.

3. Take tablet Cholecalciferol 200 international units, one tablet every fifteen days for four months. It is vitamin D3.

I hope this helps.

Kindly follow up if you have more doubts.

Thank you.