What does a gestational sac look like in medication abortion?

Patient's question:

After taking medication for a miscarriage, I didn't see a gestational sac, only some blood clots. What does a gestational sac from medication-induced miscarriage look like?

Doctor's answer:

The gestational sac in medication abortion is a round or oval white villous mass. After being diagnosed with an intrauterine pregnancy, if you do not wish to keep the pregnancy, medication abortion can be performed within 49 days of pregnancy. Three days after taking the oral medication, vaginal bleeding can occur within 2-6 hours, releasing white round or oval villous tissue, which is the gestational sac. Once the gestational sac is expelled, the miscarriage is considered successful.

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