What is the probability of needing a uterine clearance after medication abortion?

Patient's question:

My best friend had a medication abortion a few days ago. I don't know if it was completely effective or if the procedure was fully completed. How likely is it that a medication abortion might require a follow-up procedure?

Doctor's answer:

After medication abortion, it is important to carefully observe the vaginal bleeding and check if the gestational sac has been expelled. If you see the gestational sac expelled at that time, you should also pay close attention to the amount of bleeding, as there may be residual endometrial tissue. If the bleeding is minimal and there are no discomforts, you should have a follow-up ultrasound at the hospital two weeks after the medication abortion. However, if the bleeding increases during this period, you should have an ultrasound examination promptly. If there is a significant amount of residual tissue, a Dilation and Curettage (D&C) may be necessary.

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