How long is the bleeding considered normal after medication abortion?

Patient's question:

No

Doctor's answer:

Usually, the average number of days of bleeding after the expulsion of the fetal sac in medication abortion is 18 days. The reasons for prolonged bleeding may include incomplete shedding of the decidua, which affects uterine contraction and hemostasis; or incomplete expulsion of the fetal sac, leading to incomplete abortion. In a few cases, post-abortion infection may occur, causing endometrial inflammation.
After medication abortion, since the decidua attached to the uterine wall has not been completely expelled with the fetal sac, uterine contraction is affected, and bleeding does not stop immediately. Two weeks after the expulsion of the fetal sac, a follow-up visit should be scheduled. Additionally, if bleeding resumes accompanied by abdominal pain after the bleeding has stopped, it is important to seek medical attention promptly to avoid delaying the condition and causing adverse consequences.