Why is there bleeding again 20 days after medication abortion?

Patient's question:

Accidentally got pregnant with my boyfriend, because I couldn't bear to take it alone, so we secretly used medication to induce an abortion. But recently, there's been bleeding again. I want to ask the doctor why it's bleeding again 20 days after taking the medication. Is it due to my body's condition or is this a normal phenomenon?

Doctor's answer:

After a medication-induced abortion, the condition of skin peeling reappeared 20 days later. In this case, the first consideration is the possibility of incomplete miscarriage. If a follow-up ultrasound has been performed promptly after the medication abortion and the residual tissue in the uterine cavity has been ruled out, it could be a case of dysfunctional uterine bleeding, possibly related to poor uterine recovery and potentially linked to overexertion. In such situations, it is generally necessary to actively use medication for symptomatic treatment.

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