Why is there still bleeding after thirteen days of medication abortion?

Patient's question:

Accidentally got pregnant, decided to have a medication abortion, but after thirteen days, there's still bleeding. What's going on? Is it serious? Is it because my body hasn't fully recovered yet? My boyfriend is very worried and insists on taking me to the hospital for a thorough check-up. Do I really need to go to the hospital for another check-up?

Doctor's answer:

After medication abortion, in addition to the condition of skin peeling, there is a consideration of residual tissue remaining. It is recommended to go to the hospital for a color Doppler ultrasound examination. If residual tissue is confirmed, it is suggested to take Yimucao and Xin Chuaoneng Granules orally to promote the discharge of residual tissue. Apply cold compresses to the lower abdomen, pay attention to preventing colds, and avoid getting chilled. If the residual tissue is large, a Dilation and Curettage (D&C) procedure may be necessary. Additionally, patients should develop a regular sleep schedule, adhere to treatment, maintain a light diet, and engage in aerobic exercise to boost their immunity and reduce the risk of illness.

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