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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Did I Have Successful Abortion By Having Spotting And Clotting After Taking Mt Pill?

Doctor I had an unwanted pregnancy of 5 weeks for which doctor suggested mtpill 200mg which I took on 6th Nov, on 7th Nov i had little dark colour spotting and little clotting. Today morning at around 1am I inserted 4 Misoprost 200mg tablets vaginally, though I had severe pain whole night and day till around 3pm in the afternoon, bleeding has not been much, bleeding is happening while urinating only. Pls suggest
posted on Fri, 14 Mar 2014
Twitter Fri, 19 Jun 2015 Answered on
Twitter Fri, 19 Jun 2015 Last reviewed on
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OBGYN,  's  Response
If the amount of bleeding is too scanty to doubt the initiation/completion of abortion, you have to get it confirmed. The best way for confirmation is by ultrasonography which will visually show the images of uterine cavity. If the cavity appears to be absolutely empty, the abortion is complete. However, you should keep in mind the possibility of pregnancy in the tubes which your Obstetrician will investigate if needed and take action. This type of pregnancy when ruptures is associated with little bleeding with severe pain in abdomen. In this the woman bleeds lot more in the abdomen that what is seen outside and needs immediate intervention by surgery and blood transfusion.

If the scan shows that abortion is incomplete or the abortion process has not started at all (by evidence of tissues present inside the uterine cavity), then surgical intervention like suction evacuation may be required.

Please report to your Obstetrician and get his opinion and help.
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Did I Have Successful Abortion By Having Spotting And Clotting After Taking Mt Pill?

If the amount of bleeding is too scanty to doubt the initiation/completion of abortion, you have to get it confirmed. The best way for confirmation is by ultrasonography which will visually show the images of uterine cavity. If the cavity appears to be absolutely empty, the abortion is complete. However, you should keep in mind the possibility of pregnancy in the tubes which your Obstetrician will investigate if needed and take action. This type of pregnancy when ruptures is associated with little bleeding with severe pain in abdomen. In this the woman bleeds lot more in the abdomen that what is seen outside and needs immediate intervention by surgery and blood transfusion. If the scan shows that abortion is incomplete or the abortion process has not started at all (by evidence of tissues present inside the uterine cavity), then surgical intervention like suction evacuation may be required. Please report to your Obstetrician and get his opinion and help.