Is it normal to bleed for seven days after taking medication?

Patient's question:

Detailed medical condition and consultation purpose: Doctor, hello. I got pregnant six months after getting married. But my husband and I don't want to have a child so early. So, I had a medication abortion. After the abortion, I bled for seven days until it stopped (just like my usual menstrual period). Is this normal?

Doctor's answer:

This is a normal phenomenon. It is recommended to monitor the amount of bleeding, which is generally considered normal if it does not exceed 15 days. Keep the abdomen warm, actively pursue anti-inflammatory treatment, maintain a balanced diet, and this will aid in recovery. Regular follow-up is necessary.
Bleeding after medication abortion typically occurs within 1 to 3 weeks. The general pattern is: the bleeding gradually decreases day by day. If the bleeding decreases and then increases again, or if it stops completely or gradually worsens, this is abnormal.
Within 2 to 3 days, the gestational sac in the uterine cavity can be expelled, resulting in heavier vaginal bleeding. Symptoms such as dizziness, nausea, vomiting, fatigue, and abdominal pain may occur during this time. However, the decidua tissue in the uterus often takes about 2 weeks to gradually be expelled, after which bleeding stops. This is a sign that the medication abortion is complete.
Given that incomplete abortion is common after medication abortion, it is still advisable for patients to visit a hospital for follow-up, especially if there is excessive bleeding. A thorough examination is necessary in such cases.

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