What is the reason for abnormal bleeding after medication abortion?

Patient's question:

Hello doctor, I am 21 years old. After taking medication for an abortion, I have been bleeding for 15 days, with occasional fresh red blood flowing out, and the flow is more than the previous few days. A few days ago, the blood was dark and slightly black, but today it is light red. I haven't had a thorough medical examination yet. What could be the reason for abnormal bleeding after medication for an abortion?

Doctor's answer:

According to your description, after taking medication for an abortion, if bleeding occurs frequently again, it may indicate that the abortion was not successful. After completing the medication abortion, it is essential to go to the hospital for a thorough examination of the uterine cavity to check for any residual tissue. If residual tissue is found in the uterine cavity, a second D&C (dilation and curettage) must be performed. After taking medication for an abortion, it is important to rest in bed and avoid overexertion. Do not eat spicy, irritating, or extremely cold foods. Abstinence from sexual intercourse is strictly prohibited for one month.

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