What is the reason for medication abortion not being effective?

Patient's question:

Pregnant for over 40 days, took an abortion pill and died within a few days. After stopping for a few days, it came back again and kept not clearing up.

Doctor's answer:

Hello, considering the residual, an ultrasound examination can help with diagnosis. If residual is found and it is small in size, it can be treated with Motherwort ointment and anti-inflammatory drugs. For larger residues, medication may not be effective, and a D&C procedure can be performed. After the surgery, it is important to maintain good hygiene in the perineal area and avoid spicy and irritating foods.

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