Understanding Retained Tissue After Medication Abortion: What to Do

Question
QUESTION: hello sir,
i was 7 weeks pregnant when i opted for medication abortion.everything went normal.i passed out a large mass with menstrual blood.but after the final usg the results showed a 29mm retained tissue.everything else was normal.what should i do??would it pass during my next period

ANSWER: You can take a repeat dose of Misoprotol 800 micrograms buccally to help expel the retained tissue.

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QUESTION: thank u so much for your instant reply.i hav taken misoprostol 800 bucally again.the bleeding has resumed but in very small quantity.i am passing tiny clots like my normal menses.i dont need to use a sanitary napkin.but i havent observed any bigger clot yet.would this cause infertility or any kind of infection?i am very scared.please help

Answer
No, It does not cause infertility.  You can repeat a second dose of the Misoprostol to make sure you pass all of the retained tissue.  Sometimes, it takes a second dose.  Our patients prefer to use the Misoprostol so we always give them extra doses of medication.