How big is the membrane removed after medical abortion?

Medical abortion is the abbreviation of medical abortion. After a woman has a medical abortion, her body will shed the membrane and expel it from the body. Because under the action of the drug, the membrane will automatically flow out of the uterus. Obviously, the damage to the uterus is very serious. However, any abortion surgery is harmful to the female uterus, so medical abortion is no exception. It is recommended that women use abortion methods after careful consideration. So how much membrane is removed after medical abortion?

The shedding of decidual tissue after medical abortion is different from menstruation. It may fall off irregularly and its size cannot be measured. It is flesh-colored or light red in color and takes a long time to be discharged. Compared with surgical abortion, the bleeding time of medical abortion will be longer.

What does decidual tissue include?

The endometrium after the fertilized egg implants is called decidua because of its obvious thickening, vascular filling, mitotic hypertrophy, curvature and high secretory activity. It is essential for the establishment and maintenance of pregnancy.

According to the relationship between the fertilized egg and the endometrium, it can be divided into: basal decidua, capsular decidua, and true decidua.

1. Decidua basalis: The decidua between the fertilized egg and the myometrium will develop into the maternal part of the placenta.

2. Decidua capsula: The decidua covers the fertilized egg and will form part of the fetal membrane.

3. True decidua: the decidua other than the site where the fertilized egg is attached.

Does miscarriage only involve the decidua but no gestational sac?

Abortion does not occur when there is only decidua but no gestational sac. Generally speaking, the decidua will flow out of the body together with the gestational sac. If none of the semen is discharged together, there is a possibility of ectopic pregnancy, but this situation is relatively rare and is a low-probability event. Normally, the decidua will flow out together with the gestational sac, but you didn't observe that the gestational sac has a little white villous tissue.

If you really can't tell, or are worried, it's best to go to a regular hospital's obstetrics department for a check-up. It is better to check B-ultrasound to clarify the cause and carry out targeted treatment in time. If necessary, uterine curettage may be required. The B-ultrasound check showed nothing in the uterus, which meant the abortion was complete. If you don't go to the hospital, it's hard to be sure based on your imagination alone.

After a miscarriage, you should avoid eating raw, cold, spicy food, touching cold water, and having sexual intercourse within one month. It is recommended to keep a good mood, live a regular life, engage in appropriate activities, and ensure sleep, which is beneficial to your health.

In a miscarriage, is there only the decidua but no gestational sac? That's not the case. In a normal miscarriage, both the decidua and the gestational sac will flow out of the body together. All you see is the decidua, and it is likely that you don't see it. The gestational sac is a bit of white villous tissue. If you are worried, I suggest you go to the hospital for a check-up. Check the B-ultrasound to see if it has drained clean.