Patient's question:
I have a classmate, and she and her boyfriend have been in a long-distance relationship for four years. Recently, they celebrated their birthdays together and stayed in a hotel that night. That night, they had sexual intercourse without any form of contraception, and she ended up getting pregnant. There was no other option, so she underwent medication-induced abortion. However, after several days of the medication, the bleeding decreased significantly, but then suddenly increased again. What could be the reason for this?Doctor's answer:
After taking medication for a miscarriage, most women experience a relatively large amount of bleeding, and the bleeding duration is longer. If it is observed that a gestational sac has been expelled, or if a follow-up ultrasound has confirmed the absence of residual tissue in the uterine cavity, the issue is usually not serious. Based on the description of the situation, if there is a sudden increase in bleeding after a period of minimal bleeding following medication-induced miscarriage, the first consideration should be the possibility of residual tissue or blood clots in the uterine cavity. If it is confirmed that there is residual tissue or blood clots, it may be necessary to consider uterine evacuation as a treatment option.