Is it true that medication abortion is not clean and does not require uterine clearance?

Patient's question:

A friend just had a medication abortion, and the check-up said it wasn't clean and needs a uterine clearance. Another friend said not to rush the clearance—is that true?

Doctor's answer:

The biggest drawback of medication abortion is the likelihood of residual tissue remaining in the uterine cavity. If a pelvic ultrasound reveals residual tissue but it is small in size, it may not be necessary to consider a D&C procedure at this time. Instead, you can take a few days of blood-activating drugs or traditional Chinese medicine, and engage in appropriate daily exercise to facilitate the expulsion of the residual tissue. However, if the residual tissue is large in size, medication may not be effective in expelling it, and a D&C procedure may be required.

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