What should be paid attention to on the first day of taking medication for medication abortion?

Patient's question:

I accidentally got pregnant and bought medication abortion pills from the hospital, planning to do it at home myself. I'm taking the medication today, and it's the first day I've been home. What should I pay attention to? I'm already experiencing abdominal pain again. How can I check if the embryo is coming out? Please help me, doctor.

Doctor's answer:

If you choose to have a medication abortion, the main thing is to carefully monitor the vaginal bleeding and observe whether 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 carefully monitoring 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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