Medication abortion is a commonly used method for terminating pregnancy in the early stages. Whether it's a medication abortion or a surgical abortion, a follow-up ultrasound is necessary to check for any remaining tissue in the uterus. If remnants are found after a medication abortion but there is no bleeding, this is considered normal. The presence of remnants and the occurrence of bleeding are not necessarily related. Bleeding can occur even without remnants, and the presence of remnants does not always result in bleeding. Therefore, the decision on how to handle remnants after a medication abortion is not based on whether there is vaginal bleeding. If the remnants are large, a dilation and curettage (D&C) is generally recommended. If the remnants are small, conservative treatment with medication or waiting for the next menstrual period may be considered. However, in cases where a medication abortion causes heavy bleeding, an immediate D&C is necessary. If remnants are present but there is no bleeding, the usual approach is to monitor the situation and opt for conservative treatment temporarily.