When should I go for a follow-up after taking medication for an abortion?

Patient's question:

Didn't take good care of myself, ended up getting pregnant. I was originally quite happy, but my boyfriend forced me to have an abortion. I had a medication abortion at the hospital less than a month after getting pregnant. It's been seven days now, and there's not much bleeding anymore. When is it best to do a follow-up check after a medication abortion?

Doctor's answer:

Medication abortion is generally performed within 49 days of pregnancy. After the embryonic tissue is expelled, vaginal bleeding will gradually increase. Usually, vaginal bleeding will naturally stop within 7 to 10 days. If vaginal bleeding does not stop within less than 10 days, or if it becomes as heavy as menstrual bleeding, it is best to go to the hospital promptly for an ultrasound examination to determine if there is any residual tissue in the uterine cavity. If residual tissue is found, it is necessary to promptly undergo a D&C procedure to resolve the issue.

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