The medication comes out like a cotton ball.

Patient's question:

The medicine flow comes down like a cotton ball, along with blood clots. Is it successful medication abortion?

Doctor's answer:

During medication abortion, the fetal sac expelled with blood is a pink, meat-like tissue, sometimes with a small bubble visible inside. If no fetal sac is expelled during the observation period at the hospital, it is important to monitor the vaginal discharge at home. At this time, special attention should be paid to distinguishing it from blood clots (blood clots are purplish-red or dark red, uniform and soft). One week later, the patient should bring the expelled tissue to the hospital for a follow-up examination. A small number of women (4%–5%) can completely expel the fetal sac by taking mifepristone alone. If the bleeding is not significant, a clean small bottle can be used to collect and preserve the expelled tissue, which should be brought to the hospital for examination on the third day. If the bleeding is heavy, the patient should immediately take the expelled tissue to the hospital for emergency treatment.

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