What should be checked during a follow-up after medication abortion?

Patient's question:

I did a medication abortion last week and have been feeling a bit unwell, so I want to get a follow-up check. What tests are involved in a medication abortion follow-up?

Doctor's answer:

After medication abortion, when going to the hospital for a follow-up check, the most important test is a detailed ultrasound to examine if there is any residual tissue in the uterine cavity. If there is residual tissue, its volume needs to be assessed. If the volume is small, you can take some blood-stimulating and blood-removing medications for a few days. If the volume is large, oral medication may not be sufficient to expel it, and a second D&C procedure may need to be considered. If there is no residual tissue in the uterine cavity, the condition of the uterus's complete recovery can be evaluated.

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