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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Medical Abortion. Ultrasound Showed Remnants. No Help With Cytotec. Having Discharge, Headache. Advised D&C. Opinion?

I has a medical abortion Dec 9th, went to follow up they said everything was complete. Started BC pills and two weeks ago started having severe menstural cramps , thought I was about to start and never did, then I started having a thick brown discharge with some traces of red blood, went to my OB and they performed an ultra sound saying at first retained tissue and gave me more pills to take and pass (cytrotec) stated I would not have a period until the tissue passes. Went back on Friday after taking pills (which nothing happened after taking the pills) and another ultra sound was performed, dr then stated that pregnancy test was negative so it probably wasnt remains from the pregnancy and to wait and see if the tissue comes out with my cycle. I m still having the discharge and a pretty severe headache and cramps at the time but nothing else. I m so confused and don t know what to do. Should I seek a second opinion? Or wait for cycle? He said if I didn t pass he would perform a D&C.
Mon, 4 Feb 2013
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OBGYN,  's  Response
Hi,
The success rate of a medical abortion depends on the period of pregnancy at which it is done. While a 100% success can be noted before 6 weeks, it is 85-90% at 9-10 weeks. It should always be confirmed by an ultrasound. Menstrual period generally returns 4-6 weeks after Misoprostol intake. In the present state, I think you should follow your doctor's instructions and get a D&C performed as this would diagnose the cause of your bleeding. Headache and cramps may be due to intake of Misoprostol. Wish you good health.
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Had Medical Abortion. Ultrasound Showed Remnants. No Help With Cytotec. Having Discharge, Headache. Advised D&C. Opinion?

Hi, The success rate of a medical abortion depends on the period of pregnancy at which it is done. While a 100% success can be noted before 6 weeks, it is 85-90% at 9-10 weeks. It should always be confirmed by an ultrasound. Menstrual period generally returns 4-6 weeks after Misoprostol intake. In the present state, I think you should follow your doctor s instructions and get a D&C performed as this would diagnose the cause of your bleeding. Headache and cramps may be due to intake of Misoprostol. Wish you good health.