What is the reason for bleeding after medication abortion?

Patient's question:

Detailed medical condition and consultation purpose: I have been on medication abortion for twenty-three days, but I am still experiencing continuous bleeding. The amount and symptoms of the bleeding are similar to my normal menstrual period, accompanied by lower back pain. Currently, I have a cycle of seven days followed by two days without bleeding, and my appetite is not good. Is this normal? Do I need a uterine clearance?
Auxiliary tests: Ultrasound examination showed a normal uterus, but there is pelvic inflammation. I have been given 0.4 Lek left for three days and am currently taking Yimucao.

Doctor's answer:

??????Generally, this situation will last for about 3 days. The amount of bleeding is slightly more than the menstrual flow or equal to it. If it hasn't stopped after half a month, it's necessary to promptly review to check for the possibility of residual tissue. There is a risk of residual tissue and secondary infection after medication abortion, so it's important to take anti-inflammatory medication on time post-surgery and to follow proper postoperative care, including anti-inflammatory hygiene measures.

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