Is it okay if the gestational sac comes out during medication abortion?

Patient's question:

Morning, I took the medicine and have been having stomach pain ever since. So far, not much has come out. Is it normal for the gestational sac to be expelled after taking medication for a miscarriage?

Doctor's answer:

In the early stages of pregnancy, if a hospital visit for an ultrasound examination confirms an intrauterine pregnancy and the pregnancy is within 49 days, medication abortion can be performed. The purpose of medication abortion is to naturally dislodge the embryonic tissue from the uterine cavity and expel it out of the body. Therefore, only after the embryonic tissue is expelled can the medication abortion be considered successful. Otherwise, if the medication abortion is unsuccessful, it is necessary to promptly perform a uterine aspiration procedure.

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