Is the endometrium thick after medication abortion and needs to be cleared?

Patient's question:

A friend went to the hospital for medication-induced abortion a few days ago. She has been feeling particularly weak recently and wants to know if the endometrium is thick after medication-induced abortion and if a D&C (dilation and curettage) is necessary.

Doctor's answer:

Hello, if you have a medication abortion. After the ultrasound examination, if the endometrium is found to be relatively thick, it is recommended to have a uterine curettage. Because a thicker endometrium can lead to excessive bleeding or prolonged spotting, which may cause anemia or infection, etc. After the abortion, it is important to rest and avoid overexertion. Avoid spicy, cold, and irritating foods. Maintain a regular diet, primarily consisting of light and high-protein foods.

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