Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

198 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Hi Got medical abortion done for missed abortion at 11

Answered by
Dr.
Dr. Purushottam Neurgaonkar

OBGYN

Practicing since :1992

Answered : 2154 Questions

default
Posted on Wed, 30 Jan 2019 in Pregnancy
Question: Hi
Got medical abortion done for missed abortion at 11 weeks POG. I bled for 3 days and whole gsac came intact along with big clots. After this i just had spotting. Tvs after 14 days showed ET of 16mm and rpoc for which i was advised misoprost 600 mcg stat methergin tds for 5 days. With methergin I stopped having spotting and passed whitish tissue bits. Tvs after this showed ET of 8mm and rpocs of size 1.5 by 1.6just above the os.
My gynec Advised D and C. I had a previous LSCS 4 years ago. I have no symptoms of pain or discharge or fever etc. Should I wait for the rpoc to pass on its own?
Can i repeat methergin and misoprost?
doctor
Answered by Dr. Purushottam Neurgaonkar 5 hours later
Brief Answer:
Repeat Misoprostol. USG after 15 days.

Detailed Answer:
Hi there,
Welcome to 'Ask A Doctor' service.
I have understood your concern, checked the reports and I will suggest you the best possible treatment options.

First of all, do not panic.
As your USG report is showing that POC is near internal os, I will suggest you undergo repeat course of Tablet Misoprostol.

Also, a week-long course of broad-spectrum antibiotic like Doxycycline 100 mg twice a day is advisable. You may require a prescription from your local physician/gynaec for this.

Please repeat the USG after 15 days.
Of course, D&C is an option, if needed.

Please feel free to communicate with me again.

I hope this answer helps you.
Thanks
Dr Purushottam Neurgaonkar


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Purushottam Neurgaonkar 2 hours later
Thanks doctor
How much dose of misoprost can i take if taking sl and what intervals. . Please advice.
(Actually i consulted another gynec who told me to go for d and c but she did not deny me another round of misoprot and methergin..i hv already taken misoprost 800 sl and 2 doses of methergin next day. I came across this forum and learnt that methergin has no role in rpocs. What should i do now?)
doctor
Answered by Dr. Purushottam Neurgaonkar 18 minutes later
Brief Answer:
Misoprostol 600 mcg sublingual

Detailed Answer:
Hi there
Thanks for appreciating the answer and reverting back to me.

I have gone through your reply.
Yes, you need not take Tablet Methergin now.
Also do not take Tablet Meftal spas.

I will recommend Tablet Misoprostol 600 microgram to be taken sublingual, at bed time.
You can swallow remaining tablets in the mouth after 30 minutes.

A course of broad spectrum antibiotics as suggested earlier, and repeat USG after 15 days.

Please feel free to communicate with me again.
I hope this answer helps you

Thanks.
Dr. Purushottam Neurgaonkar

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on