Twenty days after taking medication for an abortion, why is it still black?

Patient's question:

After taking medication for an abortion for twenty days, why is there still black discharge, not a lot, but a bit. An ultrasound said the uterus size is normal, and there are echoes in the cavity.

Doctor's answer:

20 days after medication abortion, if there are still black secretions in the vagina, it could be possible that there are residual tissues or clots left in the uterine cavity that haven't been completely expelled. If the size of the expected snowflakes or residual tissues in the uterine cavity is no more than one centimeter, oral medications such as Motherwort Paste or Shengxinhua Granules can be considered to promote their expulsion. However, if they are larger, it is better to undergo a uterine curettage.

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