What should be paid attention to after a medication abortion is not clean and a D&C procedure is performed?

Patient's question:

I'm pregnant, but my boyfriend doesn't want to keep the baby and won't give me money to go to the hospital for an abortion. With no other choice, I had to buy some pills from a pharmacy to induce an abortion at home. However, the medication didn't work completely, so I had to go back to the hospital for a D&C procedure. What should I pay attention to after an incomplete medication abortion?

Doctor's answer:

If the careful examination after medication abortion indicates residual tissue, a uterine aspiration is necessary to prevent risks such as intrauterine infection and adhesions caused by the long-term presence of tissue in the uterine cavity. After the uterine aspiration procedure, it is recommended to avoid sexual activity and tub baths for one month, and to maintain a light diet temporarily, avoiding excessively spicy, irritating, or greasy foods. It is advised to rest for at least 1 to 2 weeks and to avoid excessive strenuous exercise to prevent uterine atony, which may lead to an increase in bleeding.

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