Brief Answer: EXPLAINED BELOW Detailed Answer: Hello Thanks for writing to us with your health concern. See , basically the ONLY reliable way to tell if a medical abortion is successful - is to have an ultrasound scan after 15 days that will show an empty uterine cavity. Other than that, all other signs and symptoms are just suggestive. If it was a very early pregnancy ( 4 - 5 weeks ) then passage of tissue is not mandatory. Passage of heavy blood clots, bleeding with cramps for a few days - this is all you might experience in early pregnancy abortion. In advanced pregnancies, generally there is passage of a greyish white fleshy piece of tissue, alongwith the blood clots. This might go unnoticed, as you use the washroom sometimes, or it is deeply embedded inside the blood clot, you would not actually dissect out each and every clot , right ? So going by your description of having experienced heavy bleeding with cramps, I would say that the medical abortion worked for you. If right now you are having no heavy bleeding / severe pain / fever / foul smelling discharge, that in itself also is highly suggestive that the abortion is complete, and there are no residual tissues inside. Of course, you would know for sure only when you have your follow up exam and ultrasound scan. All the best. Please feel free to ask for further clarifications.

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Brief Answer: DETAILED BELOW Detailed Answer: Thank you for the appreciation. At 6 weeks, generally you would see a smallish piece of tissue, around say 2 by 3 cms. Bleeding is common for upto a few days after the pill intake, so do not worry. The urine and blood HCG tests would normalize generally in 3 - 4 weeks, but can show up for upto 60 days, so do not worry about that. Take care.

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