After taking medication for an abortion, is the bleeding clean?

Patient's question:

After taking medication for an abortion, bleeding stopped after 10 days. Does this mean it was a complete miscarriage? Is there any further testing needed?

Doctor's answer:

Hello! According to your description, the bleeding after medication abortion usually lasts for one to three weeks. The abdominal pain may be due to uterine contractions. There are no pregnancy-related symptoms like nausea or vomiting. It also does not cause abdominal pain from uterine contractions. It is only considered clean when the blood in the vagina has completely stopped. To confirm the diagnosis, it is best to go to the hospital for a follow-up ultrasound to check if it is completely expelled. It is recommended that you go to the hospital for a follow-up color Doppler ultrasound to confirm whether the abortion is complete, as symptoms alone cannot be used to diagnose. Rest well, avoid fatigue and cold exposure, and avoid spicy and irritating foods.

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