Endometrial echoes after abortion are uneven

Uneven endometrial echo after abortion may be a manifestation of the normal recovery process, or may be related to factors such as intrauterine adhesions, residual pregnancy tissue, or infection. The main influencing factors include incomplete involution of the uterus, intrauterine adhesions, residual pregnancy products, endometrial inflammation, and endocrine disorders.

1. Incomplete uterine involution

After an abortion, it takes time for the uterus to return to its original shape and function. Ultrasound examination may show uneven echogenicity and inconsistent thickness of the intima. This condition is usually accompanied by a slight feeling of distension in the lower abdomen and prolonged discharge of lochia. You can use hot compress on the lower abdomen and take motherwort granules to promote uterine contraction. If necessary, use oxytocin injection to help uterine involution.

2. Uterine adhesions

Repeated abortions or dilation and curettage operations may cause damage to the basal layer of the endometrium and lead to adhesions on the front and back walls of the uterine cavity. Ultrasound shows that the intimal echo is interrupted and uneven, which may be accompanied by a significant decrease in menstrual flow or amenorrhea. Hysteroscopy is required to confirm the diagnosis. Mild adhesion can be treated by hysteroscopic separation. After surgery, an intrauterine device can be placed or the estradiol tablets/estradiol dydrogesterone tablets composite package can be used to promote endometrial repair.

3. Residues of pregnancy products

In incomplete abortion, part of the villi or decidual tissue remains in the uterine cavity, and ultrasound can show irregular strong echo masses with disordered endometrial echoes. It often presents with persistent vaginal bleeding, lower abdominal pain, and slow decline in blood HCG levels. A uterine curettage is required to remove residual tissue. After the operation, you can take Maternity Mixture to prevent infection. If necessary, use ceftriaxone sodium for injection for anti-inflammatory treatment.

4. Endometrial inflammation

Improper post-abortion care may cause endometritis. Ultrasound shows endometrium thickening, uneven echo and enhanced blood flow signal. Typical symptoms include fever, purulent discharge, and lower abdominal tenderness. It is necessary to select sensitive antibiotics after culturing the secretions, such as metronidazole tablets combined with azithromycin dispersible tablets. In severe cases, intravenous infusion of cefoperazone sodium and sulbactam sodium for injection is required.

5. Endocrine disorders

Induced abortion may temporarily affect the function of the hypothalamic-pituitary-ovarian axis, resulting in insufficient estrogen secretion and poor endometrium repair. Ultrasound shows that the endometrium is thin and the echo is uneven, and the menstrual cycle is disordered. Hormone levels can be adjusted through estradiol gel, and menstruation can be regulated with Dingkundan. After the hormone levels are restored, the endometrium can be repaired naturally.

If the endometrium has uneven echo after artificial abortion, regular ultrasound examinations are required to observe the change trend of the endometrium. Avoid sexual intercourse and bathing within 1 month after surgery, and keep the perineum clean. Pay attention to supplementing high-quality protein and iron in your diet, and eat animal liver, lean meat, spinach, etc. in moderation. If it is accompanied by symptoms such as abnormal bleeding, worsening abdominal pain, or fever, you should seek medical treatment in time to investigate pathological factors. During the recovery period, it is appropriate to carry out light activities such as walking to avoid strenuous exercise that affects the recovery of the uterus.