Should I have a D&C if I'm bleeding from medication abortion and can't see a gestational sac?

Patient's question:

I took the medicine at 10 a.m., and it started bleeding at 5 p.m. But I didn't see the gestational sac. Since the medication caused the cervix to thin and I couldn't see the gestational sac, should I have a D&C?

Doctor's answer:

The medication-induced miscarriage has caused the skin to break, and the gestational sac was not visible. It is recommended to undergo a detailed ultrasound examination. It is considered that a D&C procedure may be necessary. Actively implement anti-inflammatory treatment, carefully monitor the amount of bleeding, and take Motherwort orally to promote uterine contractions and expel blood clots. Avoid getting cold as well. Under the guidance of a doctor, treatment should be carried out, which will aid in the complete recovery of the body. It is also important to undergo periodic follow-up examinations to confirm the complete recovery of the uterus.

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