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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abortion Pill Not Working, Stomach Pain, Took Misoprostol. Reason?

Hello Dr. I am 29 years old, already 2-3 years ago I have used two time these obortion pills, but once again I have taken Mifepristone 200mg. on 22/04/2013 accordingly my Dr. and 2nd Tab. Misoprostol after 48 hr. But it is not working as its work, and there is very much pain in my stomach RHS. And period is over only 9 days.
Mon, 29 Apr 2013
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OBGYN 's  Response
Thanks for your query.
I wonder if it is legal in your country to take these medications over the counter.
Firstly, the diagnosis of pregnancy has to be confirmed by a gynecologist.
Secondly, the exact dates of pregnancy have to be confirmed in weeks. Sometimes, these medicines work only within a narrow time frame.
Thirdly, that the pregnancy is intra uterine has to be confirmed. If you take these medications in case of ectopic pregnancy ( pregnancy outside uterus ), results can be fatal.
Fourth, the exact dose and schedule is precise and has to be prescribed by a doctor after examining you.
Fifth, after completing the prescribed course, you need to have a follow up visit to confirm that the abortion was complete.
If you do not follow these precautions, you run the following risks :
1. prolonged and heavy bleeding
2. infection
3. retained products of conception
4. failed and incomplete abortion, requiring surgical evacuation

The medicines work within 12 - 24 hours.
At first, you might just have nausea, slight cramps and brownish discharge.
However, over the coming day, you should have heavy bleeding, with passage of clots and fleshy tissues.

But to confirm the success of the pills, and for your own health and safety, I would urgently request you to consult a Gynecologist, and conduct the abortion safely under medical supervision.

Take care, and feel free to ask further questions.
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OBGYN Dr. Rishma Lakhani's  Response
Hello,

I think you should go for ultrasound of the pelvis to know whether there are retained products of conception, probably you might need surgical evacuation by D&C.

Meet your doctor with the report and decide on further management.

i would also advice you to use proper contraception rather than undergoing abortions now and then, as these are harmful.

Take care.

Dr. Rishma lakhani
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Abortion Pill Not Working, Stomach Pain, Took Misoprostol. Reason?

Thanks for your query. I wonder if it is legal in your country to take these medications over the counter. Firstly, the diagnosis of pregnancy has to be confirmed by a gynecologist. Secondly, the exact dates of pregnancy have to be confirmed in weeks. Sometimes, these medicines work only within a narrow time frame. Thirdly, that the pregnancy is intra uterine has to be confirmed. If you take these medications in case of ectopic pregnancy ( pregnancy outside uterus ), results can be fatal. Fourth, the exact dose and schedule is precise and has to be prescribed by a doctor after examining you. Fifth, after completing the prescribed course, you need to have a follow up visit to confirm that the abortion was complete. If you do not follow these precautions, you run the following risks : 1. prolonged and heavy bleeding 2. infection 3. retained products of conception 4. failed and incomplete abortion, requiring surgical evacuation The medicines work within 12 - 24 hours. At first, you might just have nausea, slight cramps and brownish discharge. However, over the coming day, you should have heavy bleeding, with passage of clots and fleshy tissues. But to confirm the success of the pills, and for your own health and safety, I would urgently request you to consult a Gynecologist, and conduct the abortion safely under medical supervision. Take care, and feel free to ask further questions.