After medication abortion, I haven't bled for a week. Now it's been twenty.

Patient's question:

After medication-induced abortion, I haven't had any bleeding for a week. Now, after 20 days, I'm bleeding again, and it's similar to my menstrual flow. What could be the reason? Is it normal?

Doctor's answer:

Hello! The bleeding after medication abortion usually lasts for 1-3 weeks. The general pattern is: the bleeding decreases day by day. If the bleeding decreases and then increases again, or if it doesn't decrease at all or gradually increases, it may indicate incomplete medication abortion. It is recommended to take progesterone capsules, Xuefu Zhuyu capsules, and Sparfloxacin tablets for treatment. Follow-up with an ultrasound is necessary to determine if a D&C (dilation and curettage) is needed. D&C can be painful, and proper postoperative care is essential.

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