Should I Undergo Curettage After Medication Abortion Despite Negative Pregnancy Tests?
6 days ago
my wife had a medication abortion on march 17th. We followed all instructions, and she experienced normal bleeding. She even had her period on march 25th. However, we did a follow-up sonography, and it showed some remaining tissue or particles. We are confused because her urine and blood pregnancy tests came back negative multiple times. She doesn’t have bleeding or spotting now. Some doctors say that retained products can exist even if tests are negative, while others suggest it might be a polyp. I want to understand whether we need to do curettage immediately or if we can wait. Also, we are planning for another pregnancy will leaving any tissue or polyp cause problems in the future? What are the risks, recovery time, and cost involved?
Answers (1)
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Top Doctor
Based on your description and the reports, if there is any remaining tissue or polyp after a medication abortion, the only reliable treatment is curettage. Medicine alone cannot clear retained products, and waiting can lead to spotting, irregular bleeding, or increased risk of infection even if pregnancy tests are negative.
A sonography can help confirm the presence of retained tissue, but ultimately, curettage is a quick procedure, usually completed within 10 minutes, and your wife can resume normal daily activities the same day.
Removing the tissue or polyp is especially important if you plan for future pregnancies, as leaving it can lead to heavy bleeding, spotting, or complications during conception. Waiting for complications to occur is not recommended.
The cost varies depending on the hospital or clinic, but the procedure itself is straightforward.
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