How to determine if the tissue has been expelled when experiencing severe abdominal pain after medication abortion?

Patient's question:

Three days ago, I went to the hospital to get medicine for medication-induced abortion. I have been taking the medicine for three consecutive days, and now I have severe abdominal pain. I cannot confirm whether the tissue has been expelled on my own. I would like to ask those with experience how medication-induced abortion is generally used to determine if the tissue has been expelled. It has been three days since medication-induced abortion, and my stomach is very painful. How can I confirm whether the tissue has been expelled?

Doctor's answer:

On the third day of medication abortion, abdominal pain reappeared. This is primarily due to the medication stimulating uterine contractions, which is a normal occurrence. It is suspected that the gestational sac may be expelled through excrement. If you observe something resembling tissue in the excrement, it may be the gestational sac and should be taken to the clinic for verification. If the gestational sac is not visible, a thorough ultrasound examination is necessary to observe the specific condition inside the uterus for confirmation.

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