Can I wait a few days if the gestational sac hasn't been expelled after a medical abortion?

It is not recommended to wait passively if the gestational sac has not been expelled after a medication abortion; prompt medical attention is necessary. Retention of the gestational sac in the uterine cavity may lead to serious complications such as heavy bleeding and infection. Waiting on your own may delay timely treatment and increase the risk of uterine damage. If the gestational sac has not been expelled more than 6 hours after taking the medication, or if abdominal pain worsens or bleeding increases, immediate medical care is advised.

A medical abortion typically involves taking mifepristone followed by misoprostol. Most individuals expel the gestational sac within 6 hours after taking the medication. If expulsion does not occur within 6 hours, it may indicate abortion failure or that the gestational sac is stuck at the cervical opening. In such cases, retained tissue in the uterus continues to stimulate uterine contractions, leading to persistent bleeding, which in severe cases can result in hemorrhagic shock.

In addition, retained gestational sac and decidual tissues are prone to bacterial growth, potentially causing infectious conditions such as endometritis and pelvic inflammatory disease. Untimely treatment may lead to fallopian tube blockage, affecting future fertility. Simply waiting without medical intervention cannot resolve the issue of retained gestational sac and instead increases these health risks, posing harm to overall well-being.

After a medical abortion, closely monitor vaginal bleeding and any expelled material. Get adequate rest and avoid physical strain, maintain external genital hygiene and dryness, change sanitary products frequently, eat light and nutritious foods, avoid spicy or irritating foods, and support initial recovery of the body.