38 days of medication abortion, on the last day of medication, there were blood clots, and they dropped continuously for one day.

Patient's question:

38 days of medication abortion, on the last day of taking the medicine, there were blood clots for six or seven consecutive days. By the evening, there were no blood clots left, and the bleeding had reduced to a small amount. However, the next night, the bleeding increased again, and blood clots reappeared. Do I need to go to the hospital?

Doctor's answer:

Hello, it is generally best to take medication and have the gestational sac expelled within 4 hours, after which bleeding will significantly decrease. Based on your description, it is recommended to visit the hospital promptly for a follow-up ultrasound to check if there are any residual tissues in the uterine cavity causing excessive bleeding. If residual tissues are present in the uterine cavity, it is necessary to undergo a D&C procedure in a timely manner to prevent excessive bleeding.

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