When will the gestational sac be expelled during medication abortion?

Patient's question:

I accidentally got pregnant. I had a medication abortion a day ago and it's very painful. When will the gestational sac be expelled after the medication abortion?

Doctor's answer:

Hello, according to your description, it should be expelled within six hours after medication abortion. If it is not expelled, it is important to be aware of the possibility of residual tissue. In this case, it is better to go to the hospital for a Dilation and Curettage (D&C) procedure. Otherwise, if left for too long, it can lead to severe bleeding, which may affect the body's full recovery. Additionally, the bleeding period after medication abortion is usually prolonged, and it is generally not recommended to undergo medication abortion.

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