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How long does vaginal bleeding continue after taking Mifegest?

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Posted on Fri, 13 May 2016
Question: Hi

I was pregnant for 6 weeks when i took MIFEGEST 200mg and Tab MISOPROST 800 mcg. and after this i had cramps and heavy bleed for 4 weeks after which i check urine test it showed me negative but my concern is i still have bleeding and its been almost 6 weeks now and i still have bleeding. is there any medication to stop the bleeding. kindly suggest
doctor
Answered by Dr. S Patra (19 minutes later)
Brief Answer:
Do one pelvic ultrasound scan.

Detailed Answer:
Hello,

Thanks for writing to us. Followings are my suggestions:

1) I suggest you to undergo one pelvic ultrasound scan to check retained bits or placental tissue (if any). In that case, D & C may be required after consultation with your local doctor.

2) Tranexamic acid (like PAUSE etc) can be taken for 3 to 5 days to arrest bleeding. Take healthy diet (with iron supplements) and maintain genital hygiene.

Hope I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. S Patra (26 hours later)
Hi Doctor

Thanks for your reply

Can you tell me any medication which i can take and easy available in Thailand. I live in Thailand Bangkok.

Please suggestion me medication which is available in Thailand Bangkok. I am very worried since i had no bleeding for 5 days and suddenly had bleeding again after 5 days so please suggest me any medication to stop my bleeding.

I had take the dose of MIFEGEST 200mg and Tab MISOPROST 800 mcg twice. i took the first dose when i was 6 weeks pregnant after this when i check my urine test i had a very light control line and i was scared and i took the second dose of MIFEGEST 200mg and Tab MISOPROST 800 mcg again so i am worried

after taking the second dose i had heavy bleeding and also had heavy bleeding in my urine and after 2 weeks when i checked my urine test it should showed me negative test for pregnancy but i had continued bleeding for 2 weeks and suddenly i had no bleeding for 5 days but now again i have bleeding.

please help me suggest what should i do?

waiting for your reply

Regards
XXXXX
doctor
Answered by Dr. S Patra (2 hours later)
Brief Answer:
Do one USG scan and follow these advices.

Detailed Answer:
Hello,

Thanks for follow up query. I understand your concern.

1) Heavy bleeding may be due to failed or incomplete medical abortion. There may be some placental tissue or remnants inside uterine cavity.

Therefore, I would recommend to undergo one pelvic ultrasound scan (USG) to check first. It helps to rule out underlying cause also.

2) If ultrasound scan shows some remnant tissue or incomplete abortion, then you may require to undergo surgical procedure (D & C) following consultation with local gynecologist.

3) If scan report is NORMAL, then I can suggest Tranexamic Acid (500 mg) for 3-5 days to arrest bleeding temporarily. Take IRON supplements with protein rich diet to recover from weakness. Both are available over the counter in Thailand.

4) In case of continuous heavy bleeding, you must contact with local doctor for clinical examination and she/ he may prescribe progesterone pill (Norethisterone etc) and other suggestive treatment to control bleeding.

Hope, it helps for your information. Good luck and take care.

Regards,
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. S Patra (5 hours later)
Thank you doctor

i am worried after seeing your reply.

If the urine test shows negative that means i am not pregnant,

but as you said there must be placental tissue or remnants inside uterine cavity.

because of this i still have heavy bleeding.

I will do the test and see a doctor

Thanks for your reply i will update you

Regards
XXXXX
doctor
Answered by Dr. S Patra (9 minutes later)
Brief Answer:
Review with scan report.

Detailed Answer:
Yes. Do one ultrasound scan and review with report.

Good luck.

Regards,
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. S Patra (2 days later)
Hi Doctor

I wanted to inform you that i need a urine test and it showed negative results for pregnancy.

And also the bleeding is reduced i had cramps two days before in the morning when i woke up but it was not heavy just like the cramps during the periods time.

Now the bleeding is very little and i feel much better now.

I shall do the scan and update you

Regards
XXXXX

doctor
Answered by Dr. S Patra (2 hours later)
Brief Answer:
Review with report.

Detailed Answer:
Hello,

Thanks for your updated information.

I am very glad to hear that you are much better now and bleeding is reduced.

Do the ultrasound scan and review with report. Maintain genital hygiene.

Good luck and take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. S Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4048 Questions

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How long does vaginal bleeding continue after taking Mifegest?

Brief Answer: Do one pelvic ultrasound scan. Detailed Answer: Hello, Thanks for writing to us. Followings are my suggestions: 1) I suggest you to undergo one pelvic ultrasound scan to check retained bits or placental tissue (if any). In that case, D & C may be required after consultation with your local doctor. 2) Tranexamic acid (like PAUSE etc) can be taken for 3 to 5 days to arrest bleeding. Take healthy diet (with iron supplements) and maintain genital hygiene. Hope I have answered your query. Wish your good health and take care. For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326