What happens if the medication abortion is not completely effective?

Patient's question:

I recently had a medication abortion and don't know if it was completely effective. What would happen if the medication abortion wasn't completely effective?

Doctor's answer:

Hello, if the medication abortion is not complete, it may lead to persistent vaginal bleeding and severe abdominal pain. Generally, it is normal to experience a very small amount of vaginal bleeding and mild abdominal pain within a week. It is recommended that you undergo a follow-up ultrasound around two weeks after the medication abortion to check the complete recovery of the uterus and whether there are any remnants inside. If remnants are found, medication or a D&C procedure may be necessary.

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