How long does it take for the gestational sac to be expelled with medication?

Patient's question:

I had a medication abortion at the hospital yesterday at 3:30 PM. Today, the gestational sac has not yet passed. How long does it take for the gestational sac to pass in the slowest medication abortion cases?

Doctor's answer:

General medication abortion can take the longest 2 to 3 days after taking the last three pills to expel the gestational sac. In most cases like this, there is usually residual tissue in the uterine cavity. Generally, the vast majority of gestational sacs are expelled within 6 hours of taking the medication. For your situation, you can focus on careful observation, pay attention to the amount of vaginal bleeding, and take blood-activating and blood-removing herbs to facilitate the expulsion of the gestational sac. You can go to the hospital for an ultrasound follow-up 2 to 3 days later to rule out uterine residual tissue.

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