What should I do if there is still fresh blood 15 days after taking medication for a miscarriage?

Patient's question:

After taking medication for a miscarriage, 15 days later there was only fresh blood flow without clots, and no abdominal pain.

Doctor's answer:

You are generally able to decide on medication abortion within 49 days of confirming an intrauterine pregnancy. Medication abortion carries certain risks, which may lead to complications such as heavy bleeding or incomplete miscarriage. If any of these complications occur again, it is necessary to promptly undergo a D&C procedure.
Currently, after your medication abortion, if you are experiencing only fresh bleeding, it could be due to residual tissue or poor uterine contractions. It is recommended that you visit a hospital for a color Doppler ultrasound to carefully examine the specific condition of the uterus. If residual tissue is detected, it is advisable to undergo a D&C procedure to remove it. However, if there are no abnormalities in the uterus, it may be a case of simple uterine cramping, in which case you can take medication to strengthen uterine contractions.
Pay attention to hygiene, and it is best to take some anti-inflammatory medication. If the bleeding persists for too long, it may lead to infection.

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