Why is there black material after twenty days of medication abortion?

Patient's question:

After taking medication for an abortion for twenty days, why is there still black discharge, not a lot, but a bit. An ultrasound said the uterus size is normal, but there are echoes in the cavity.

Doctor's answer:

20 days after medication abortion, if there are still black secretions in the vagina, it could be possible that there are residual tissues or clots left in the uterine cavity that haven't been fully expelled. If the size of the expected snowflake-like or residual tissues in the uterine cavity is no more than one centimeter, oral herbs like Yi Mu Cao paste or Sheng Xin Hua Granules can be considered to promote their discharge. However, if they are larger, it is better to undergo uterine aspiration.

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