What tests should be done after abortion

After abortion, gynecological B-ultrasound, blood human chorionic gonadotropin, blood routine, coagulation function and infectious diseases screening are usually required to assess the recovery of the uterus and eliminate residual or infection risks.

1. Gynecological B-ultrasound:

Gynecological B-ultrasound is the most essential examination after abortion, mainly aimed at confirming the presence of embryonic tissue residue in the uterine cavity. If there is residue, it may lead to sustained bleeding or infection. During the examination, the doctor will observe the thickness of the endometrium, whether the uterine cavity line is clear, and whether there are any abnormal echo masses. If the ultrasound indicates mixed echoes or liquid dark areas in the uterine cavity, further curettage or medication treatment may be necessary, such as using mifepristone tablets to promote residual discharge.

2. Blood human chorionic gonadotropin:

The level of blood human chorionic gonadotropin is an important indicator for determining whether a miscarriage is complete. After abortion, the hormone will gradually decrease to normal. If it continues to rise or decrease slowly, it may indicate the presence of nourishing cell disease or residue. It is usually recommended to have a weekly follow-up after surgery until normal recovery is achieved. If the value is abnormal, the doctor may recommend using methotrexate tablets for drug intervention or performing another surgery to remove the lesion.

3. Blood routine examination:

Blood routine examination is used to evaluate whether there is anemia or infection after abortion. During the abortion process, blood loss may lead to a decrease in hemoglobin, resulting in symptoms such as dizziness and fatigue. Meanwhile, an increase in white blood cell count and neutrophil ratio may indicate uterine infection, often accompanied by fever, abdominal pain, or unusual discharge odor. If diagnosed with infection, antibiotics such as cefuroxime granules or metronidazole tablets should be used according to medical advice to control inflammation.

4. Coagulation function:

Coagulation function test mainly excludes coagulation abnormalities caused by miscarriage, especially for patients with severe bleeding or recurrent miscarriage. If there is prolonged clotting time or decreased platelets after abortion, it may increase the risk of bleeding. The inspection items include prothrombin time, activated partial thromboplastin time, etc. If the results are abnormal, doctors will use drugs such as tranexamic acid tablets to stop bleeding based on the situation, and closely monitor the amount of bleeding.

5. infectious diseases screening:

infectious diseases screening includes hepatitis B, hepatitis C, syphilis, AIDS, etc. The purpose is to evaluate whether abortion is related to infection and prevent cross infection. If the screening result is positive, it is necessary to further clarify the stage of infection and develop a treatment plan, such as using tenofovir tablets for antiviral treatment or benzylpenicillin to treat syphilis. This type of examination also helps with postoperative care and avoids exacerbating pre-existing infections due to weakened immunity. After abortion, it is recommended to take sufficient rest and rest for at least two weeks to avoid vigorous exercise and heavy physical labor. Eat more foods rich in protein and iron, such as lean meat, eggs, and spinach, to promote uterine repair and correct anemia. Within one month after surgery, sexual intercourse and baths are prohibited to prevent infection. If there is fever, worsening abdominal pain, or bleeding exceeding menstrual flow, it is necessary to seek medical attention for follow-up examination in a timely manner.