Patient's question:
Patient Gender: I chose medication abortion. For the first three days, blood clots were discharged intermittently. The bleeding was heavy on the first two days, but by the fourth day, there was no more bleeding. Does this mean the abortion was unsuccessful?Doctor's answer:
Hello, after taking mifepristone and misoprostol, the gestational sac in the uterine cavity can be expelled within about 2 to 3 days. At this time, there may be more vaginal bleeding, accompanied by symptoms such as dizziness, nausea, vomiting, fatigue, and abdominal pain. However, the decidua tissue in the uterus often takes about 2 weeks to gradually be expelled, after which bleeding stops. This is called a complete abortion, so it is stipulated that pregnant women should have a follow-up check-up at the hospital 15 days after medication-induced abortion. If necessary, an ultrasound examination and urine pregnancy test should be conducted to determine the effectiveness of the abortion.If the abortion has not occurred within 1 week after taking the medication, or if vaginal bleeding significantly increases around 10 days, as well as if bleeding persists for more than 3 weeks to 1 month, it is necessary to promptly review and visit the hospital for a follow-up. For cases of failed or incomplete abortion, artificial abortion or dilatation and curettage (D&C) surgery may be required, respectively.