What should I do if there is bleeding for more than 30 days after taking medication for an abortion?

Patient's question:

My wife is 28 years old this year. We have finally managed to have a child, but because my wife's health is relatively weak, the doctor recommended medication abortion at that time. Now, it has been more than 30 days since the medication abortion, but there is still bleeding. So, I want to know what to do if there is bleeding for 30 days after medication abortion?

Doctor's answer:

Now that the medication abortion has been ongoing for over 30 days, vaginal bleeding has reappeared. It is recommended to visit the hospital promptly for an ultrasound re-examination, as it is likely that there is residual tissue in the uterine cavity. Medication abortion often leads to residual tissue in the uterine cavity, and it may even result in severe bleeding again. If you undergo an ultrasound examination now and the residual tissue is small, you can take appropriate oral medications. However, if the residual tissue is significant, a surgical procedure called uterine aspiration may be necessary.

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