Medication abortion, in general, does not require evacuation. Only if the abortion is incomplete, or if the abortion fails, does it require evacuation. Incomplete abortions are usually followed by abdominal pain, persistent vaginal bleeding, and residues in the uterus visible on gynecologic ultrasound. This is the time when we need to perform an evacuation. If there is no abdominal pain and vaginal bleeding gradually decreases to none within one or two weeks after the medical abortion. The uterus is normal and there is no residue on gynecological ultrasound. If the next menstrual period arrives on time, it means that the medical abortion is successful and there is no need to perform a curettage. The best time to have a medical abortion is about 49 days after menopause. If this time is exceeded, medical abortion is not recommended, because the success rate of medical abortion will be reduced because the gestational sac is larger at this time, which will also cause harm to the body.