Does it need to take mifepristone and misoprostol again after medication abortion and uterine clearance?

Patient's question:

What should I do if I get pregnant unexpectedly? The harm is relatively small. Is it necessary to take Mifepristone and Misoprostol again after a D&C procedure following medication abortion?

Doctor's answer:

During the surgical procedure, the endometrium may be damaged to varying degrees. Therefore, it is normal for menstruation to resume 40-50 days later. When menstruation returns for the first time, varying amounts of blood and clots are common. There is no need to worry excessively. Pay attention to monitoring, maintain good hygiene, and avoid sexual activity if there is bleeding. After the bleeding stops, return to the hospital for a 4D ultrasound examination of the vagina to assess the recovery of the uterus.

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