What is the reason for brown discharge 7 days after medication abortion?

Patient's question:

After taking the medication for medication abortion, 7 days later the follow-up check revealed strong echoes, suggesting either a D&C procedure or medication. I decided to take the medication. On the third day morning after defecating, I now have a lot of brown discharge in my lower abdomen.

Doctor's answer:

The pain in your lower abdomen may be related to residual uterine tissue. The brown discharge is likely caused by incomplete miscarriage, resulting in a small amount of bleeding. Generally, a small amount of residual tissue can be expelled with the next menstrual period. Currently, you can wait and see. If there is heavy bleeding, it is recommended to go to the hospital for a uterine clearance procedure. If you are not planning to get pregnant, it is important to take safe contraceptive measures to prevent accidental miscarriage, as it can be harmful to your body and the endometrium. It is safer to use contraception after your menstrual period has ended.

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