Bleeding after medication abortion stopped for 6 days, ceased for 4 days, and then resumed.

After a medical abortion, bleeding that stops for 6 days and then reappears after 4 days may be caused by incomplete abortion, local infection, poor uterine involution, or other reasons. Appropriate treatment should be based on the specific situation. The details are as follows:

1. Incomplete Abortion

Medical abortion terminates pregnancy through medication. After taking the drugs, the gestational sac and other tissues gradually discharge from the body over a period of about 7 to 14 days. Therefore, it is usually normal for bleeding to stop for 6 days and then restart after 4 days. It is recommended to monitor bodily changes closely. If this condition persists for an extended period, however, a dilation and curettage (D&C) procedure at a hospital is advised.

2. Local Infection

Shortly after a medical abortion, women's bodies are relatively weak and their immunity is reduced. If some embryonic tissue remains in the uterine cavity and begins to necrotize, it may trigger an inflammatory response, leading to local infection and causing this symptom. Under a doctor’s guidance, medications such as cefixime capsules or amoxicillin capsules may be used for treatment.

3. Poor Uterine Involution

Due to drug stimulation, the uterus contracts frequently to help expel the gestational sac and other tissues. However, if the patient has underlying uterine conditions such as uterine fibroids or uterine malformations, the contraction ability may be impaired, resulting in poor uterine involution and retained endometrial tissue, which can cause this symptom. It is recommended to visit a hospital for relevant examinations and active treatment.

In addition, this symptom could also be caused by other conditions such as vaginitis, uterine fibroids, or coagulation disorders. It is advisable to seek timely medical evaluation to monitor the recovery status of the uterus.