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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vomiting And Heavy Bleeding After Taking Misoprostol Tablets?

I taken mtp kit n after taking 4 misoprostol tablets I vomitted after 20min n heavy bleeding with pieces started after 2hrs but my gynae suggested me to take 2 more misoprostol more n i taken it in evening n after that my bleeding stopped n now what to do?
Fri, 8 Jul 2016
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OBGYN 's  Response
Hallow Dear,

Since you vomited within half an hour of the ingestion of Misoprostol, the medicine was not absorbed completely and was thrown out partially; hence, though the abortion process started, it could not be completed due to ineffective uterine contractions. This led to excessive bleeding. Your doctor very rightly advised you to repeat Misoprostol. This was retained and hence made your uterus contract effectively. Therefore, mostly the abortion process got completed and your bleeding stopped.

Now I would advise you to get ultrasonography done to confirm that your uterus is empty. If so, you need not take any more steps; however, if some products of conception are visualized in the uterine cavity, they need to be evacuated surgically.

Hence forward, please adopt some reliable contraceptive method like birth control pills, condom or intrauterine device.

I hope, this clarifies your doubts.

Dr. Nishikant Shrotri
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What Causes Vomiting And Heavy Bleeding After Taking Misoprostol Tablets?

Hallow Dear, Since you vomited within half an hour of the ingestion of Misoprostol, the medicine was not absorbed completely and was thrown out partially; hence, though the abortion process started, it could not be completed due to ineffective uterine contractions. This led to excessive bleeding. Your doctor very rightly advised you to repeat Misoprostol. This was retained and hence made your uterus contract effectively. Therefore, mostly the abortion process got completed and your bleeding stopped. Now I would advise you to get ultrasonography done to confirm that your uterus is empty. If so, you need not take any more steps; however, if some products of conception are visualized in the uterine cavity, they need to be evacuated surgically. Hence forward, please adopt some reliable contraceptive method like birth control pills, condom or intrauterine device. I hope, this clarifies your doubts. Dr. Nishikant Shrotri