What should be noted on the first day of taking medication for medication abortion?

Patient's question:

I accidentally got pregnant and bought medication for medication abortion from the hospital. I planned to do it at home myself. I took the medication today, which is the first day at home. What should I pay attention to? I have already started experiencing abdominal pain again. How can I check if the embryo has come out? Please help, doctor.

Doctor's answer:

If you choose medication abortion, the main thing is to carefully observe the vaginal bleeding and check if the gestational sac has been expelled. Since you have just started taking the medication on the first day, it is unlikely that the gestational sac will be expelled at this point. You should primarily focus on observing the vaginal bleeding. Some people may experience vaginal bleeding again on the first day of taking the medication. Generally, the gestational sac may be expelled around the third day of medication. Alternatively, you can have an ultrasound examination to check if it has been expelled.

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