What should I do if my leucorrhea turns yellow after an abortion?

The yellowish leucorrhea after abortion can be improved by keeping the perineum clean, avoiding sexual intercourse, adjusting the diet, taking medications as prescribed by the doctor, and conducting regular check-ups. This symptom may be related to post-abortion infection, hormone level fluctuations, cervicitis, vaginitis, pelvic inflammatory disease and other factors.

1. Keep the perineum clean

Wash your vulva with warm water 1-2 times a day, choose cotton underwear with good breathability and change it every day. Avoid using vaginal douches or irritating lotions to prevent disrupting the balance of vaginal flora. Keep the perineum dry after cleaning to reduce the environment for bacterial breeding. Bathing in the tub is prohibited within 2 weeks after surgery to prevent retrograde infection from sewage.

2. Avoid sex

Sexual life must be strictly prohibited within 1 month after abortion. Sexual activity may introduce pathogens into the reproductive tract and aggravate the inflammatory response. At the same time, sexual excitement can cause pelvic congestion and affect uterine wound healing. If abnormal discharge occurs, the abstinence time needs to be extended until 1 week after the symptoms completely disappear.

3. Adjust diet structure

Increase the intake of high-quality protein such as fish and eggs to promote tissue repair, and supplement kiwi fruit and broccoli with high vitamin C content to enhance immunity. Limit spicy foods such as chili peppers and alcohol to reduce pelvic congestion. Drink 1500-2000 ml of water every day to reduce the risk of urinary tract infection through urine flushing.

4. Use medications as directed by your doctor

Metronidazole vaginal effervescent tablets can be used for abnormal secretions caused by bacterial vaginosis, and clotrimazole vaginal tablets are suitable for fungal infections. Cefixime dispersible tablets are used for conditions such as pelvic inflammatory disease that require systemic medication. All drugs must be used under the guidance of a doctor, and the prescribed course of treatment must be completed. Medications must not be stopped or the dosage changed on your own.

5. Regular review

A repeat ultrasound examination is required 1 week after the operation to confirm that there is no residue in the uterine cavity, and a routine leucorrhea and gynecological examination is required after 2 weeks. If yellow purulent discharge with an odor persists, cervical secretion culture needs to be performed. If intrauterine adhesions or chronic pelvic inflammatory disease are found during reexamination, physical therapy or hysteroscopic surgery may be required.

It is necessary to observe changes in the amount, color, and odor of secretions after surgery, and seek medical attention immediately if fever, abdominal pain, or increased bleeding occurs. During the recovery period, avoid strenuous exercise and heavy physical labor, and ensure 7-8 hours of sleep a day. Probiotic preparations can be taken appropriately to regulate the flora, but they need to be taken 2 hours apart from antibiotics. Maintaining a regular schedule and emotional stability can help endocrine recovery and reduce the occurrence of abnormal secretions.