Patient's question:
Hello: I went to the hospital on the 19th to have a medication abortion. On the 23rd at 8 a.m., I took the last three pills. Everyone else expelled the pregnancy tissue within six hours after taking the medication, but I waited until the doctors had all gone off duty, and still nothing came out. The doctor told me to go home and wait, but so far, I haven’t felt any cramping and the bleeding is very light. Could it be that I didn’t get rid of it, or did I not even get pregnant in the first place? If I didn’t get rid of it, are there any other methods besides a D&C? Thank you.First follow-up question: Hello, thank you. When I took mifepristone, there were many small blood clots coming out. Could that be it? What exactly does pregnancy tissue look like, and how can I tell?
Doctor's answer:
Hello, if there is no discharge of pregnancy products after medication abortion, this is highly likely due to the failure of the medication abortion. If it is confirmed that you are pregnant, it is essential to expel the pregnancy products to terminate the pregnancy. It is recommended to have another check-up as soon as possible, perhaps the products have already been expelled but you haven't noticed. If the medication abortion fails, it is advised to undergo a D&C (dilation and curettage) procedure. Generally, the success rate of medication abortion is not very high.