Patient's question:
Today is the third day of medication abortion. I took Mifepristone at ten o'clock. Around fifty minutes later, the gestational sac came out. There hasn't been any bleeding since then. Originally, there was only a little blood flow. What's going on?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 examination 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 there is a significant increase in vaginal bleeding around 10 days, or 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 examination. For cases of failed or incomplete abortion, artificial abortion or dilatation and curettage (D&C) surgery should be performed accordingly.