What is the reason for continuous bleeding after medication abortion?

Patient's question:

I had a medication abortion a few years ago that kept bleeding for about twenty days, and the bleeding was quite heavy. I never went to the hospital for a check-up. Now I want to have a child—will it be affected?

Doctor's answer:

Hello, the bleeding after medication abortion generally lasts for 1-3 weeks. The overall pattern is: the bleeding decreases day by day. If the bleeding decreases and then increases again, or if it doesn't decrease at all or gradually increases, it is abnormal. This could be due to: 1. incomplete abortion, 2. infection after medication abortion, or 3. poor blood clotting function. It is recommended that you go to the hospital for a check-up for safety. An ultrasound examination is advisable, and if necessary, a uterine aspiration procedure should be performed at the hospital.

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