Is it okay if the medication abortion is not clean or if a uterine curettage is needed?

Patient's question:

Yesterday, after having a medication abortion at the hospital, it wasn't completely effective. However, I don't want to have a D&C procedure. Is it okay to have an incomplete medication abortion without a D&C?

Doctor's answer:

If the medication abortion is not clean, how to perform a uterine clearance mainly depends on the area of the remaining tissue. If the area of the remaining tissue is relatively small, medication to promote blood circulation and remove blood stasis can generally be used to help metabolize the remaining tissue. However, if the area of the remaining tissue is relatively large, the effect of medication is relatively poor, and in this case, a uterine clearance surgery is required. If the surgery is not performed, it may lead to uterine cavity infection, uterine adhesion, and affect future normal pregnancy and conception.

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