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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taken Cytotec To Clear Womb After Miscarriage. Low HCG Level. Now Cramps. Help

I had heavy bleeding last week, when i visited my ob the next day she said that i had miscarriage . She gave me cytotec to let the remaining tissue comes out. My next visit she said that my womb clear and to make sure requested me to have the blood test. My hcg level going down. But why until now i have severe cramps but no bleeding at all. Please help!
Wed, 26 Mar 2014
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OBGYN,  's  Response
Hello and welcome,

I understand the case.

You did not have bleeding after cytotec. Then it is possible that the uterus was not cleared of the pregnancy as you have not passed any pieces and blood. An ultrasound will be needed for confirming if the abortion was complete. The HCg level may be going down as the baby may have aborted but it is still inside the uterus [missed abortion].

Also it is better to use mifepristone along with misoprostol [ cytotec] for getting an abortion as they are more effective.

So get an ultrasound done for confirmation. If it is still inside you may need a small surgical procedure for removing it.

Hope this satisfies your query. Do not worry, these are common issues.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Taken Cytotec To Clear Womb After Miscarriage. Low HCG Level. Now Cramps. Help

Hello and welcome, I understand the case. You did not have bleeding after cytotec. Then it is possible that the uterus was not cleared of the pregnancy as you have not passed any pieces and blood. An ultrasound will be needed for confirming if the abortion was complete. The HCg level may be going down as the baby may have aborted but it is still inside the uterus [missed abortion]. Also it is better to use mifepristone along with misoprostol [ cytotec] for getting an abortion as they are more effective. So get an ultrasound done for confirmation. If it is still inside you may need a small surgical procedure for removing it. Hope this satisfies your query. Do not worry, these are common issues. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist