Do I need a D&C if there is still 10mm?

Patient's question:

Female, 27 years old, used medication for abortion, but after the abortion, she has been experiencing abdominal pain. Later, she checked in the hospital, and the doctor recommended that she undergo uterine clearance. Is it necessary to clear the residue of 10mm?

Doctor's answer:

After medication abortion, if a residual of about one centimeter is found upon careful examination, it is recommended to consider surgical uterine clearance. If the residual cannot be cleared promptly and thoroughly, it may affect uterine contraction, increase blood volume and bleeding duration, and is also prone to cause intrauterine infection. Immediate surgical uterine clearance is necessary, as medication cannot expel the residual. Appropriate exercise and avoiding frequent lying down are beneficial for the residual to be expelled. Pay attention to postoperative hygiene and strictly prohibit sexual activity for half a month.

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