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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Little Bleeding And Small Mass Discharged After Having Mifegest Kit. Was It A Successful Abortion?

Hi, I am around 5 weeks pregnant and I bought the Mifegest kit. I took the Mifepristone 200mg tablet yesterday at 1pm (05/03/2014). I took two Misoprostol tablets 200mcg each at 7pm (05/03/2014) and another two at 1am today (06/03/2014). There was no bleeding till I took the Misoprostol pills at 7pm .bleeding start and a little mass that came out after taking the Misoprostol pills at 1am but now bleeding has reduced and no more mass has come out. I d heard that there ll be lots of mass coming out... HOW CAN I BE SURE THAT MY ABORTION IS ON THE RIGHT TRACK? Please reply soon.. Thanks!!
Mon, 10 Mar 2014
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OBGYN 's  Response
hello and thanks for using HCM,

I understand your problem and it is not uncommon. These pills can produce an incomplete abortion especially if taken after 9 weeks. Many times it happens that women confuse implantation bleeding with periods and thus wrongly date the last menstrual period. The actual gestation is more than calculated, so pills may fail.

If yours was indeed 5 weeks, then bleeding is not much as the baby is too small and very few products are formed.
A follow up visit to your gynec is always scheduled after mifegest kit to ensure complete abortion at around 7 days after the procedure. However if you are in doubt, I suggest that you go earlier and get an ultrasound [transvaginal] to see if any bits are left behind. These may need surgical removal by a simple procedure called check curettage. If not removed they may get infected so it is better to confirm it by ultrasound.

Hope that this helped. Thanks for the query. I am always here to answer any further questions.
Dr Madhuri Bagde
consultant Ob Gyn.

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Little Bleeding And Small Mass Discharged After Having Mifegest Kit. Was It A Successful Abortion?

hello and thanks for using HCM, I understand your problem and it is not uncommon. These pills can produce an incomplete abortion especially if taken after 9 weeks. Many times it happens that women confuse implantation bleeding with periods and thus wrongly date the last menstrual period. The actual gestation is more than calculated, so pills may fail. If yours was indeed 5 weeks, then bleeding is not much as the baby is too small and very few products are formed. A follow up visit to your gynec is always scheduled after mifegest kit to ensure complete abortion at around 7 days after the procedure. However if you are in doubt, I suggest that you go earlier and get an ultrasound [transvaginal] to see if any bits are left behind. These may need surgical removal by a simple procedure called check curettage. If not removed they may get infected so it is better to confirm it by ultrasound. Hope that this helped. Thanks for the query. I am always here to answer any further questions. Dr Madhuri Bagde consultant Ob Gyn.