Does medication abortion cause intrauterine adhesion?

Patient's question:

After taking medication for a month, I found out I had adhesions in the uterine cavity. I don't know if it was caused by the medication abortion. Does medication abortion lead to uterine adhesions?

Doctor's answer:

According to the situation you described, if you have been diagnosed with uterine adhesions after medication abortion, the first thing to consider is that it is likely caused by endometrial inflammation, and the medication abortion itself is not directly related. If the endometrial inflammation is severe after medication abortion, it may lead to adhesions again. If adhesions are present, it is recommended to undergo hysteroscopic adhesion resection surgery. After the surgery, progesterone should be used to promote endometrial growth.

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