Patient's question:
I had my period clean on December 10th, had intercourse on December 19th, and had a medication abortion on January 18th. After February 5th, I started having coffee-colored discharge, which has not stopped yet. The amount is very small, about the size of a fingernail. There has been no abdominal pain or other symptoms. Yesterday, when I wore leather pants, I had a slight abdominal pain, but today it doesn't feel like anything. Does this situation indicate incomplete miscarriage? Thank you for your help.Doctor's answer:
Hello! The process of medication abortion involves taking Mifepristone for the first two days and Misoprostol on the third day. On the third day, the (villi) will be expelled, and the bleeding will last for about two days. This indicates a very successful medication abortion. However, if the (chorionic sac) does not expel after taking the medicine on the third day, the doctor will ask you to go home and observe carefully for a week. If it still hasn't expelled by then, an early Dilation and Curettage (D&C) will be necessary. If the is expelled, but the bleeding duration is less than two weeks, a D&C may still be required. The specific decision depends on the duration of bleeding. As long as the patient's bleeding volume is less than that of a normal menstrual period, the doctor will recommend an immediate D&C.