Patient's question:
I am 30 years old.Last night was my first time taking the medication for abortion. Today I took the second dose, but there was no bleeding. Is this normal? How can I know if it's normal?
Doctor's answer:
Hello, most people undergoing medication abortion experience cramping and bleeding within 24 hours. If the discharge does not show the presence of an embryo, it may require further medical intervention. If the embryo is intact, an ultrasound is typically performed around 10 days later. If cramping and bleeding do not resume within a week, an ultrasound should first confirm an intrauterine pregnancy, ensuring the gestational age is not advanced and that the discharged material is indeed a gestational sac, only then can one be reassured. Otherwise, it is necessary to visit a hospital for an ultrasound to determine the intrauterine and extrauterine conditions, avoiding the misdiagnosis of ectopic pregnancy and preventing potential complications, as immediate bleeding after medication abortion is uncommon.