Patient's question:
I am pregnant and planning to have a medication abortion. I would like to understand in advance whether medication abortion requires a uterine evacuation. Thank you for the doctor's explanation.Doctor's answer:
Using medication abortion may lead to incomplete miscarriage again. If there is a significant amount of residual tissue in the uterine cavity, a Dilation and Curettage (D&C) procedure may be necessary. However, if a follow-up ultrasound at the hospital after medication abortion shows no residual tissue in the uterine cavity, a D&C is not required. This is because the success rate of medication abortion can be as high as 90% or more. Therefore, whether a D&C is needed after medication abortion depends on a follow-up ultrasound to check for any residual tissue in the uterine cavity.