What's the matter if I can't see a gestational sac after taking medication for medication abortion and the blood flow has decreased?

Patient's question:

I didn't see a gestational sac after taking medication for an abortion, and the blood flow has decreased. What's going on? Is it necessary to have a uterine clearance after taking medication for an abortion?

Doctor's answer:

After taking medication for an abortion, if you don't see the gestational sac expelled, it could be a case of incomplete miscarriage. If the incomplete miscarriage occurs again, it generally requires a uterine curettage treatment. However, you need to observe carefully. You can have a follow-up ultrasound at a local hospital 2 to 3 days after the bleeding stops to confirm if there is any residual tissue in the uterine cavity. Only then can you proceed with the uterine curettage treatment. If the detailed ultrasound examination results show no residual tissue in the uterine cavity, it is generally not necessary to undergo a uterine curettage.

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