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

Patient's question:

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

Doctor's answer:

I'm glad to help you clarify 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 2 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 in 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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