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Can Medroxy Progesterone Terminate Pregnancy?

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Posted on Tue, 20 Dec 2016
Question: will medroxyprogesterone terminate pregnancy? My doctor prescribed medroxyprogesterone acetate 10mg for 5days (morning and night) to my wife for terminate pregnancy. So may i know, is that medroxyprogesterone will terminate pregnancy? Now she is 4 to 5 weeks pregnant
doctor
Answered by Dr. Aarti Abraham (22 minutes later)
Brief Answer:
As below

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Medroxy progesterone can never terminate a pregnancy.
Medical abortion pills need to be taken for that.
All the best.
Please feel free to discuss further
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (7 minutes later)
So is it possible to take medical abortion pills this time. with in How many weeks should we take abortion pill? my wife already had 5 weeks of pregnancy
doctor
Answered by Dr. Aarti Abraham (15 hours later)
Brief Answer:
As below

Detailed Answer:
In which city do you reside ?
First of all, you need to consult a proper gynecologist.
If a doctor has prescribed medroxyprogesterone acetate for termination of pregnancy, then that doctor cannot be a qualified gynecologist.
Yes, it is perfectly possible to take medical abortion pills within this time frame.
I will explain the entire procedure to you , but it is best to consult a proper expert gynecologist first.
I understand that you are planning to undergo a medical abortion ( abortion process using pills or tablets ) .
I would like to tell you certain very important things regarding medical abortion procedure.

First and foremost, medical abortion should NOT be attempted without medical supervision.
1. Even if the home pregnancy test is positive, the pregnancy needs to be confirmed by a gynecologist and exact dating needs to be done, since these pills work only up to specific gestational age, and not beyond that. So do not act just after taking a pregnancy test at home. However, in your case, ultrasound scan is already done, so this step is over.
2. You need to rule out possibility of ectopic pregnancy (pregnancy outside the uterus) which will also be done by a specialist, as taking medical pills in that scenario is disastrous and life threatening. This is also ruled out with the scan done.
3. Medical abortion has also got chances of severe life threatening bleeding at times, for which you need to be under medical care.
4. It has a 5 % failure rate, following which you require surgical termination, which might be needed in an emergency also.
5. Unsupervised medical abortion might cause severe infection, retained products which maybe undetected. Hence it is important to have a follow up visit with your gynecologist two weeks AFTER taking the pills, at which it would be confirmed that the pregnancy was successfully and completely terminated.

That said and done, if this procedure is supervised by a doctor, it is quite safe and fairly successful.
I would give you a few guidelines about medical termination: Each pack contains 5 tablets -
1 tablet of Mifepristone…200 mg
4 tablets of Misoprostol, each containing Misoprostol…200 mcg

Mifipristone tablet is taken orally and 48 hours later, 2 tablets of Misoprostol are taken orally or vaginally.
Bleeding might begin at any time after taking Mifepristone or Misoprostol, but generally starts within 6 - 8 hours of taking Misoprostol tablets.
Another 2 tablets of Misoprostol are taken 24 hours later, irrespective of whether the bleeding has started or not.
If you vomit within 4 hours of using any pills, the dose has to be repeated..

For women at 49–63 days of gestation, if abortion has not occurred 4 hours after administration of misoprostol, a second dose of misoprostol 400 mcg may be administered vaginally or orally (depending upon preference and amount of bleeding).

The patient should return for a follow-up visit approximately 14 days after the administration of mifepristone. This visit is very important to confirm by clinical examination or ultrasonographic scan that a complete termination of pregnancy has occurred.

Patients who have an ongoing pregnancy at this visit have a risk of foetal malformation resulting from the treatment. Surgical termination is recommended to manage medical abortion treatment failures
Also, the dose might vary depending on body weight or other risk factors present in the patient, so as stressed by me earlier, please go for this procedure ONLY AFTER consultation, and examination by a specialist; else you place the person undergoing this at great risk.

The pills can be taken upto 7 weeks of pregnancy, so please go ahead right now.
Take care.


Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
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Follow up: Dr. Aarti Abraham (9 hours later)
Dr. my wife already had 3 tablets of medroxyprogesterone 10 mg yesterday(twice a day) and today morning. As per your opinion she don't take no more medroxyprogesterone for termination of pregnancy. If we take medical abortion pill tomorrow is there any problem occurs? Because we already had 3 tablets of medroxyprogesterone. we eagerly waiting for your reply.
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
As below

Detailed Answer:
Yes, please start taking medical abortion pills from tomorrow, but after consultation with an expert gynec.
There is no point in taking medroxyprogesterone tablets, it is completely useless.
Can you upload the prescription where the so called doctor has prescribed these tablets for abortion ?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (4 days later)
Dear dr, My wife took medical abortion pill on this past Tuesday night (600mg of mifepristone and after the 48 hours 2 misoprostol aslo be taken. She bleed the very next day of mifepristone taken ie on Wednesday and see some clots on pads still yesterday. But today mng onward she didn't have bleeding. So may i know that is the abortion process is completed or not. Or can i take a ultrasound scanning today or should i wait for some more days to take scanning
doctor
Answered by Dr. Aarti Abraham (12 hours later)
Brief Answer:
As below

Detailed Answer:
Please go for ultrasound scanning after 15 days to check if the abortion is complete or not.
Wait until then, she may bleed further.
Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aarti Abraham (17 days later)
Dear doctor, my wife took a medical abortion pill on this 8 th November 2016. After the medical abortion pill we test home pregnancy test on yesterday morning and also done the same test on 3 days ago. Both the times the divice shows a negative result in early time and after sometimes later approximately around 2 hours later it shows a very slight fatal double line instead. So ma'am let me know the reason behind this. We afraid that it's due to incomplete of abortion. We don't know what is the reason behind this. My wife also doesn't have any discomforts and doesn't feel any pregnancy signs .....kindly reply us early as soon as possible
doctor
Answered by Dr. Aarti Abraham (11 hours later)
Brief Answer:
As below

Detailed Answer:
You should not take a pregnancy test to confirm whether the abortion is complete or not.
You should go for an ultrasound scan 15 days after the abortion to know whether it is successful or not.
Do not pay attention to the pregnancy test , as it is not reliable right now.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Can Medroxy Progesterone Terminate Pregnancy?

Brief Answer: As below Detailed Answer: Hello Thanks for trusting us with your health concern. Medroxy progesterone can never terminate a pregnancy. Medical abortion pills need to be taken for that. All the best. Please feel free to discuss further