What happens if you take medicine for miscarriage without having a D&C?

Patient's question:

Accidentally pregnant, went to the hospital for medication abortion, but still need a D&C. Already don't have much money left. Hello, what will happen if I take the medication for miscarriage without a D&C?

Doctor's answer:

I'm glad to help you with your questions. The best time for a miscarriage is between 35 and 49 days after pregnancy. If it's less than 49 days, and the gestational sac is less than two centimeters, the probability of residual tissue remaining after medication abortion is relatively high. In most cases, a magnetic resonance imaging (MRI) follow-up is required about a week after medication abortion to check if there is any residual tissue inside the uterine cavity. Not all medication abortions require a D&C procedure. A D&C is only performed if residual tissue remains, otherwise, it is not necessary.

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