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Section Index
7. Post-Medication Abortion Bleeding Issues
Question: It’s been 20 days since the medication abortion, but after the fifth day, the bleeding decreased significantly. On the thirteenth day, the bleeding suddenly increased, and it was bright red without clots. During the first week, an ultrasound showed a strong echo measuring 34 mm × 20 mm, and during the second week, it measured 28 mm × 17 mm, with visible blood flow signals around it. Now it’s been 20 days—do I need a uterine curettage?
Answer: Since it’s been 20 days since the medication abortion, a uterine curettage is necessary. I don’t recommend medication abortions, as they not only cause short-term damage to the body but also lead to long-term issues such as menstrual irregularities and early menopause.
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