The signs of a pregnancy sac falling out in early pregnancy are usually more vaginal bleeding and stomach pain. If a woman has a spontaneous abortion early in her pregnancy, or if she takes a medication such as mifepristone for a medical abortion under a doctor’s supervision, the gestational sac may be expelled on its own. Before the gestational sac is expelled, there will be some signs. In the case of a spontaneous miscarriage, the bleeding will be less at first and the symptoms of stomach pain will not be obvious. However, as the condition progresses, the uterine contractions become stronger and stronger, so you will feel more obvious symptoms of stomach pain and more and more vaginal bleeding. When this symptom occurs, it means that the pregnancy sac is about to be discharged. If you are having a medication abortion, after taking misoprostol, the symptoms of stomach pain will also be more obvious, because misoprostol will promote uterine contractions and vaginal bleeding will increase. The occurrence of these conditions also indicates that the pregnancy sac is almost expelled. However, if the vaginal bleeding is heavy and lasts for a long time after spontaneous abortion or medication abortion, it is possible that the pregnancy sac cannot be expelled by itself. If this symptom occurs, if ultrasound examination determines that there is still a pregnancy sac in the uterine cavity, it is necessary to carry out timely clearance.