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What Causes Vaginal Bleeding And Irritation After Having Cytotec?
Question: Hi. I had a miscarriage 3weeks ago induced by Cytotec vaginally. i was about 8 weeks along with my pregnancy. I am still currently bleeding and have pain, irritation and discomfort. My doctor started me on antibiotic for suspected endometritis. After being on the antibiotic for over 5 days I still do not have any symptom relief. Since my doctor is out of office until next week I am feeling anxious and not sure where to turn for help. I have not had an ultrasound to confirm that all "products" have been evacuated. My HCG levels are at 600. At this point I am concerned that I have an incomplete miscarriage and I will have to either do another dose of Cytotec or a D&C. Any thoughts? Thanks!
Brief Answer:
Please get an ultrasound and swab.
Detailed Answer:
Hi,
Thanks for posting your query.
If you have had a guided medical abortion, chances of infection are low. Yet, you still have a chance of an incomplete abortion as you have had the abortion beyond the recommended 7 weeks window. Though, medical abortion can be performed up to 9 weeks, chances of incomplete evacuation become higher after 7 weeks.
In the current scenario, I would suggest a trans-vaginal sonogram under antibiotic cover to look for any retained products. If positive, the ideal treatment would be to go for a surgical evacuation under sterile precautions and get a confirmation sonogram. Styptics may also be needed to control the bleeding. General nutrition must be maintained and so are nutritional supplements. A vaginal swab may also be needed if vaginitis is suspected, with the antibiotic mentioned.
Serum beta-hCG levels remain high for a couple of weeks before they begin to decline. Serial titres are needed to confirm the completion of the abortion. Declining titres indicate a successful abortion.
Hope I have clarified your query. Please feel free to contact for further information. I will be happy to help.
regards,
Shanti.V.
Please get an ultrasound and swab.
Detailed Answer:
Hi,
Thanks for posting your query.
If you have had a guided medical abortion, chances of infection are low. Yet, you still have a chance of an incomplete abortion as you have had the abortion beyond the recommended 7 weeks window. Though, medical abortion can be performed up to 9 weeks, chances of incomplete evacuation become higher after 7 weeks.
In the current scenario, I would suggest a trans-vaginal sonogram under antibiotic cover to look for any retained products. If positive, the ideal treatment would be to go for a surgical evacuation under sterile precautions and get a confirmation sonogram. Styptics may also be needed to control the bleeding. General nutrition must be maintained and so are nutritional supplements. A vaginal swab may also be needed if vaginitis is suspected, with the antibiotic mentioned.
Serum beta-hCG levels remain high for a couple of weeks before they begin to decline. Serial titres are needed to confirm the completion of the abortion. Declining titres indicate a successful abortion.
Hope I have clarified your query. Please feel free to contact for further information. I will be happy to help.
regards,
Shanti.V.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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