Do I need to have a uterine clearance after taking medication abortion?

Patient's question:

Last week, I had a medication abortion due to an accidental pregnancy. My colleague told me that medication abortions require a uterine clearance after the procedure. Is it necessary to have a uterine clearance after a medication abortion?

Doctor's answer:

You had a medication abortion last week. If the medication abortion is successful, there is no need for a Dilation and Curettage (D&C) treatment. However, there is a small possibility of incomplete miscarriage with medication abortion, so it is necessary to visit the hospital early after the medication abortion for an ultrasound follow-up to check for any remaining tissue in the uterine cavity. If there is any remaining tissue in the uterine cavity, a D&C treatment is required. If there is no remaining tissue in the uterine cavity, a D&C treatment is not necessary.

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