Patient's question:
B follow-up on the 8th day after medication abortion. The uterus is anteverted, with a size of approximately 56×60×41mm, normal shape, intact capsule, clear margins, and heterogeneous echo in the muscular layer. A heterogeneous echo of approximately 33×30×11mm is visible in the uterine cavity. No significant abnormalities are observed in the bilateral adnexa. An irregular fluid-filled area is seen in the rectouterine pouch, with a size of approximately 17×6mm. Doctor, is it clean? Should I have a D&C?Doctor's answer:
Hello, the effect of medication after medication for residual tissue in the uterine cavity after medication abortion is also different for each person. Some people can expel it smoothly, while others have no significant effect after medication and ultimately need a uterine clearance. However, medication must be administered first to further determine whether it can be expelled. If it can be expelled after medication, the damage to the body is relatively small. Therefore, it is recommended that you take medication for one week and then have a follow-up examination. If it still cannot be expelled, then a uterine clearance should be performed. Wishing you a speedy recovery! Thank you for your evaluation!