Incomplete Miscarriage: Symptoms, Treatments, and Future Implications - Obstetrics and Gynecology

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Understanding incomplete miscarriage, also known as a missed miscarriage, involves recognizing the symptoms, treatment options, and potential future implications for reproductive health. It is essential to understand that an incomplete miscarriage occurs when a pregnancy ends, but some tissue remains in the uterus, leading to ongoing symptoms such as prolonged bleeding, cramping, and sometimes the presence of clots.

In your case, it seems you have been experiencing prolonged bleeding following your abortion on August 17. The bleeding can be attributed to retained products of conception, which can lead to complications if not addressed. Your doctor has suggested two treatment options: progesterone (黄体素) or a dilation and curettage (D&C) procedure.
Progesterone is a hormone that can help stabilize the uterine lining and may assist in expelling the retained tissue naturally. This option is less invasive and allows your body to potentially resolve the issue on its own. However, it may take time, and there is no guarantee that it will be effective.

On the other hand, D&C is a surgical procedure where the uterine lining is scraped to remove any remaining tissue. This option is typically more immediate and can provide relief from symptoms more quickly. It is often recommended when there is significant bleeding or if the retained tissue poses a risk of infection or other complications.

Regarding the results of your recent examination, the phrase "细胞坏死有不好的东西，不过是良性的" translates to "cell necrosis with some concerning elements, but they are benign." This indicates that while there were abnormal cells, they are not cancerous. However, the presence of necrotic tissue may suggest that there was some level of distress or damage to the uterine lining, which could have implications for your overall reproductive health.

As for future pregnancies, having a D&C does not inherently affect your ability to conceive again. Many women go on to have healthy pregnancies after such procedures. However, it is crucial to monitor your recovery and ensure that your uterus heals properly. If you continue to experience prolonged bleeding or other symptoms such as dizziness, it is essential to follow up with your healthcare provider. Dizziness could be related to anemia from prolonged bleeding, so addressing this with your doctor is vital.

In terms of exercise, if your doctor has indicated that your uterus is retroverted (tilted backward) and possibly prolapsed, certain exercises may help strengthen your pelvic floor. Activities such as pelvic floor exercises (Kegel exercises), yoga, and low-impact aerobic exercises can be beneficial. However, it is crucial to consult your healthcare provider before starting any new exercise regimen, especially following a surgical procedure.

Lastly, regarding nutrition, it is generally advisable to maintain a balanced diet rich in iron and vitamins to support recovery, especially if you have experienced significant blood loss. Foods high in iron, such as leafy greens, red meat, beans, and fortified cereals, can help replenish your body's iron stores.

In summary, it is essential to communicate openly with your healthcare provider about your symptoms, treatment options, and any concerns regarding future pregnancies. Regular follow-ups and monitoring will help ensure that you recover fully and can plan for a healthy future.