Is there harm to the body from a D&C procedure on the same day as medication abortion?

Patient's question:

I would like to inquire if a D&C procedure on the same day as medication abortion is harmful to the body. I am currently about one and a half months pregnant and want to consider medication abortion, but I'm afraid it won't be completely effective.

Doctor's answer:

Hello, based on your description, it seems that medication abortion is used to completely clear the embryo with drugs, promoting the gestational sac to be expelled from the uterine cavity. However, the success rate of medication abortion is not 100%. If medication abortion is unsuccessful again, it is necessary to promptly undergo a surgical procedure to clear the uterine cavity to prevent heavy bleeding. If medication abortion is unsuccessful, you can decide to have a painless surgical procedure to clear the uterine cavity. Ensure you do not eat or drink for at least four hours before the procedure.

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