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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is D&C Surgery Mandatory Post Medical Abortion?

Hi, i have taken mifepristone (3 tablets) on 7th nov and vaginally inserted 2 misopristol on 8th and 2 more on 9th. I started bleeding from the first dose of misopristol on 8th. After bleeding for 9 days (not soo heavy), it stopped. I was again prescribed to take 4 Zitotec vaginally on 21st and 4 orally after 4 hrs on the same day. Though my doctor told, success rate of repeating the dosage is very very less. D& C should be the final. Pls. confirm and guide me.
Tue, 2 Jan 2018
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OBGYN,  's  Response
Hi there, I have understood your concern and I will suggest you the best possible treatment options.

Please do not panic.

First of all, you can get USG done to know about the completeness of the procedure. If USG shows empty uterus and no remnants of the pregnancy are seen ,then you need not worry at all. You don't need to get surgical procedure done.

As such, WHO, World Health Organisation, recommended dosage of the abortion pills is as follows - Tablet Mifepristone 200 mg followed by Tablet Misoprostol 600 to 800 mcg orally or sublingual or per vaginal route after 48 hours.
Please take care to get it done under medical supervision.

Please get counseling done for future, use a suitable contraceptive method. Learn about safe and protected sex activity, This helps to prevent unwanted pregnancy and STDs.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
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Is D&C Surgery Mandatory Post Medical Abortion?

Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not panic. First of all, you can get USG done to know about the completeness of the procedure. If USG shows empty uterus and no remnants of the pregnancy are seen ,then you need not worry at all. You don t need to get surgical procedure done. As such, WHO, World Health Organisation, recommended dosage of the abortion pills is as follows - Tablet Mifepristone 200 mg followed by Tablet Misoprostol 600 to 800 mcg orally or sublingual or per vaginal route after 48 hours. Please take care to get it done under medical supervision. Please get counseling done for future, use a suitable contraceptive method. Learn about safe and protected sex activity, This helps to prevent unwanted pregnancy and STDs. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar