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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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When Will I Start Bleeding After Taking Mifeprin During Pregnancy? Any Need To Undergo Dnc?

Hi! I am 33 years old, Dr. advised me to take mifeprin tablet yesterday after a scan which shows that no yok sac, cardiac activity were present and as per scan it is 6 weeks 2 days and i had my last periods on 3rd Jan. 2014. Now, when I will start bleeding, also dr. advised to come tomorrow with the remaining 4 tablets. Is this pills itself clears my pregnancy or i have to undergo dnc? Also, when i take this pill, i.e., from yesterday, shall i undergo any diet or avoid any particulars food
posted on Sat, 15 Mar 2014
Twitter Wed, 19 Mar 2014 Answered on
Twitter Thu, 20 Mar 2014 Last reviewed on
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OBGYN 's  Response
Hello
Thanks for writing to us with your health concern.
It is unfortunate that you have had a missed miscarriage.
Luckily, early pregnancy can be terminated by medications, however they should be taken under medical guidance.
First and foremost, consult a gynecologist.
Get the pregnancy confirmed by the doctor, and not just by the home test.
Next, get it accurately dated.
This you have already done.
The pills for abortion work within a narrow timeframe, so accurate dating is a must.
Also, rarely there could be ectopic pregnancy ( pregnancy outside the uterus ) so it is a must to let a doctor confirm the pregnancy.
Since the chances of ectopic pregnancy are ruled out, you are safe in this regard.
With pregnancy less than 7 weeks, medical abortion pills have good chances of success in clearing the pregnancy.
Next, take the medications as prescribed by the doctor in proper dosage and schedule.
Generally, one tablet of Mifepristone, followed by 4 tablets of Misoprostol are given.
You will experience pain, bleeding with clots and cramps for a few days, spotting might continue for two weeks.
Please remember that in 4 % of cases, these tablets might fail and surgical evacuation ( D and C ) would be required.
Also, complications such as heavy bleeding, infection, retained tissues may happen at any time, so it is best to stay in touch with your doctor.
However, on the positive side, these tablets are successful in most cases, so dont be scared of going ahead and taking them.
A follow up ultrasound scan should be done without fail after 2 weeks to confirm that the abortion was complete, and all the tissues were evacuated.
All the best
Please feel free to discuss further.
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When Will I Start Bleeding After Taking Mifeprin During Pregnancy? Any Need To Undergo Dnc?

Hello Thanks for writing to us with your health concern. It is unfortunate that you have had a missed miscarriage. Luckily, early pregnancy can be terminated by medications, however they should be taken under medical guidance. First and foremost, consult a gynecologist. Get the pregnancy confirmed by the doctor, and not just by the home test. Next, get it accurately dated. This you have already done. The pills for abortion work within a narrow timeframe, so accurate dating is a must. Also, rarely there could be ectopic pregnancy ( pregnancy outside the uterus ) so it is a must to let a doctor confirm the pregnancy. Since the chances of ectopic pregnancy are ruled out, you are safe in this regard. With pregnancy less than 7 weeks, medical abortion pills have good chances of success in clearing the pregnancy. Next, take the medications as prescribed by the doctor in proper dosage and schedule. Generally, one tablet of Mifepristone, followed by 4 tablets of Misoprostol are given. You will experience pain, bleeding with clots and cramps for a few days, spotting might continue for two weeks. Please remember that in 4 % of cases, these tablets might fail and surgical evacuation ( D and C ) would be required. Also, complications such as heavy bleeding, infection, retained tissues may happen at any time, so it is best to stay in touch with your doctor. However, on the positive side, these tablets are successful in most cases, so dont be scared of going ahead and taking them. A follow up ultrasound scan should be done without fail after 2 weeks to confirm that the abortion was complete, and all the tissues were evacuated. All the best Please feel free to discuss further.