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How Long Does Bleeding Prolong While Going Through Abortion?

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Posted on Mon, 5 Dec 2016
Question: Hello Sir/Ma'am,
I was diagnosed with 4 weeks 5 days pregnancy on TVS, fetal pole was not visible, the GSD was around 8 mm with no cardiac activity.
I took mifepristone 200 mg and followed it with 400 mcg misoprostol sublingually after 48 hours. I passed a huge clot with transparent sac within 4 hours and the bleeding was scant. After 12 hours I took 400 mcg of misoprostol again. I passed another clot of similar size. The bleeding is very scant. I am having no pain and cramps. The bleeding is much less compared to my regular menstrual cycle. I am concerned if the abortion is complete or not. Can I take 400 mcg of misoprostol again sublingually without any harm to my uterus? I don't want to insert it vaginally. Thank you.
doctor
Answered by Dr. Manisha Jain (44 minutes later)
Brief Answer:
Take misoprostol

Detailed Answer:
Hello Mam,thanks for trusting health care magic
Yes you should take misoprostol 400 left behind which will ensure further evacuation.
You can take it orally if you want to avoid vaginal mode.
Get an ultrasound after 2 weeks to ensure complete evacuation
Regards
Dr Manisha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (3 minutes later)
Dear maam
Thank you for prompt reply. Is taking another 400 mcg of misoprostol safe? I have already consumed 800 mcg sublingually in a gap of 12 hours as 2+2. So is it safe to take another 400 mcg sublingually. Im a primi and have had no pregnancies so far. Also can I start ciplofloxacin and tinidazole bd for five days within a day or two. Thank you.

This will be my thirs dose of misoprostol. Total would be 1200 mcg. Can I go for it safely ?
doctor
Answered by Dr. Manisha Jain (1 hour later)
Brief Answer:
Take antibiotics

Detailed Answer:
No dear incase you are not having any bleeding now then no need for extra 400 now as that was just to relieve your anxiety.
Start antibiotics tomorrow itself and it will be fine after that.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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How Long Does Bleeding Prolong While Going Through Abortion?

Brief Answer: Take misoprostol Detailed Answer: Hello Mam,thanks for trusting health care magic Yes you should take misoprostol 400 left behind which will ensure further evacuation. You can take it orally if you want to avoid vaginal mode. Get an ultrasound after 2 weeks to ensure complete evacuation Regards Dr Manisha