Why does bleeding occur after medication abortion?

Patient's question:

My girlfriend is 20 years old and had her first medication abortion on October 30. On November 1, the embryo was expelled, and the expelled tissue was examined and confirmed by the doctor. However, in the following month, there has been a small amount of blood flow continuously. On November 27, the bleeding increased, and on November 30, she went to the hospital for an ultrasound examination. The doctor also found nothing unusual, and the urinalysis was negative. The doctor then prescribed antibiotics and Yi Mu Gao. After taking the medicine for 3 or 4 days, the bleeding stopped. However, sometimes she feels discomfort in her lower abdomen. Is this normal? What should she do? Thank you!!

Doctor's answer:

There is a possibility of residual tissue and failure with medication abortion, so it is necessary to have check-ups and follow-up examinations after medication abortion.
Generally, after medication abortion, if the villi are expelled and vaginal bleeding is minimal, a follow-up examination is recommended 7 days later. If bleeding is excessive, a check-up should be conducted immediately.
In general, doctors will advise patients with postpartum consultation risks to maintain personal hygiene and avoid sexual activity. Additionally, patients should also pay attention to creating a comfortable environment, which is beneficial for rest. Wishing the patient a healthy delivery.

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