Miscarriage is the most common complication ofpregnancy, 80% of it occurs in the first 12 weeks.Medical management of abortion is a safe and effectivemethod and considered good alternative to surgery.Transvaginal sonography is necessary to confirm completeevacuation of the uterus while using the endometrialthickness is confusing.In spite that the endometrial thickness is greater in medicalevacuation than in surgical evacuation but this doesn'tmean the need for further surgical intervention.