What should I do if I'm still bleeding 2 months after a medication abortion?

Patient's question:

What should I do if I'm still bleeding 2 months after a medication-induced abortion? A few months ago, I had sex with my boyfriend, and later I got pregnant. However, now we're not ready to get married, so I had the pregnancy terminated. Now this situation has occurred again. I really don't know what to do. Is there any solution?

Doctor's answer:

Medical abortion is a method of terminating early pregnancy using oral medication, which is generally safe and reliable for the vast majority of cases. However, in some instances, there may be a recurrence of intrauterine residual tissue, leading to prolonged vaginal bleeding. Based on your description, it is likely caused by residual tissue in the uterine cavity, which has been present for an extended period. It is crucial not to delay further and to seek immediate medical attention at a reputable public hospital's gynecology department. You should undergo a series of examinations, including a pelvic ultrasound, blood and urine tests, and hormone level analysis, to confirm the diagnosis. Once the condition is clearly identified, the treating physician will recommend a Dilation and Curettage (D&C) procedure to address the issue, which should yield satisfactory results.

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