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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Taking Misoprostol Vaginally Cause Terrible Cramping?

I was prescribed 800 mg of misoprostol to take vaginally. I have avioded taking the tablets. I was supposed to take the tablets saturday evening, and since I didn't, i called my doctor today and she told me to take the other four tonight. Will I still have terrible cramping? I am scared and alone, and I don't know who exactly to turn to...
posted on Thu, 13 Mar 2014
Twitter Mon, 13 Jun 2016 Answered on
Twitter Tue, 14 Jun 2016 Last reviewed on
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General & Family Physician,  's  Response
Hello dear
Understand your concern
Better to take misoprostol under the observation of gynecologist. Ideally it should be used 48 hour after mifepristone.
It cause not severe cramp, pain and bleeding is just like more than period.
It is easily tolerable. Analgesic and rest reduce the pain severity.
800 ug should be put in vaginally/orally. If no bleeding extra two dose of 800 ug at the interval of 6-8 hour.
So please inform the local doctor in your area, as excessive bleeding and cramps occur that can be treated easily and earlier.
Follow up after 7 days and USG after 14 days should be done to confirm complete process of abortion.
Hope this may help you
Best regards
Dr. Sagar
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Does Taking Misoprostol Vaginally Cause Terrible Cramping?

Hello dear Understand your concern Better to take misoprostol under the observation of gynecologist. Ideally it should be used 48 hour after mifepristone. It cause not severe cramp, pain and bleeding is just like more than period. It is easily tolerable. Analgesic and rest reduce the pain severity. 800 ug should be put in vaginally/orally. If no bleeding extra two dose of 800 ug at the interval of 6-8 hour. So please inform the local doctor in your area, as excessive bleeding and cramps occur that can be treated easily and earlier. Follow up after 7 days and USG after 14 days should be done to confirm complete process of abortion. Hope this may help you Best regards Dr. Sagar