Does the expulsion of the gestational sac during medication abortion still require a D&C?

Patient's question:

Female, 26 years old, accidentally pregnant, but now does not want to have children. She wants to consult here. Is it necessary to clear the uterine cavity after the fetal sac is expelled by medication?

Doctor's answer:

Using medication for abortion, the gestational sac is expelled, which generally does not require a D&C procedure. However, if it is incomplete, a D&C may still be necessary. Compared to surgical miscarriage, medication abortion is more harmful, and we usually do not recommend it. After the procedure, it is important to rest more, eat a light diet, and gradually recover. Different causes lead to different symptoms, and patients need to seek systematic and standardized examinations at reputable tertiary hospitals as soon as possible based on their condition to receive targeted treatment. Additionally, patients should maintain a regular schedule, take precautions against cold, eat light and soft foods, keep the room well-ventilated, and drink plenty of warm water.

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