Can residual materials after medication abortion be expelled through menstruation?

Patient's question:

I had a medication abortion 49 days ago, and the gestational sac has also been expelled. When I went for a follow-up check-up, the doctor said there were residual tissues. I didn't have a D&C, but what if there's an interference? Can the residual tissues be expelled naturally with the next menstrual period?

Doctor's answer:

If you choose medication abortion, you will first experience many complications. The most common ones include bleeding and retained tissue. Let's first look at its size. If it's small (around 1 cm) and there's no blood flow signal nearby, you can use blood-activating and blood-resolving medications, such as Yimucao Xin Chongneng granules, to assist in removing the tissue. If the size is larger than 1 cm and there are blood flow issues, a second D&C procedure will be necessary. It's recommended to actively cooperate with your doctor's examinations. If the doctor suggests a D&C, it's best to proceed with it. After the D&C, make sure to rest well.

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