Patient's question:
Third day of medication abortion, blood clots mixed with white villi, looking like chunks of meat, continuously floating in water. The black blood clots gradually detached, while the white villi did not dissolve. Is it possible that the black blood dissolves the white, causing them to float? How can I be sure that everything has been expelled?Doctor's answer:
It is recommended that you undergo a D&C procedure. Even if the embryonic tissue is completely expelled, after pregnancy, the endometrium undergoes decidual changes. The removal of these decidual tissues can be difficult, often leading to prolonged vaginal bleeding. Performing a D&C not only clears residual embryonic tissue from the uterine cavity but also removes the decidual tissue within the uterus, which facilitates uterine involution.