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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication To Abort The Pregnancy

hi, good evening sir,,

i am 23 yr old, i had an affair wit my grl frnd,,

we participated in sex on the last month 15th,

she had the regular periods,, before we participated in the sex she had her periods on 35th of may.

in this month she didint had the period so we chechked with the pregnancy card(prega news),

she got the result positive confirming the pregnancy,,

then she started the tablets misoprost-200, on 15th of this month in the noon time,,, after 3 hrs she started her periods,, on that day itself,,, she used 2 tablets,,, and stopped,,,,

on the day of 18th we checked again we got the result positive again,,, as the physican told that tahe pregnanacy wil be gone as soon as the bleeding starts, but we rfeared of the pregnancay how can we control plz help me,, how to over come this situation,, how to remove it with medicines
Fri, 13 May 2016
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OBGYN 's  Response
Hallow Dear,

Your friend has taken right medicines. She has opted for Misoprostol regime as recommended by WHO. After 2 tablets she has aborted.

She repeated pregnancy test just 3 days after the abortion. Pregnancy test finds out the raised levels of hormone called as hCG. This hormone is raised during pregnancy. After abortion, a period of about a week to 10 days is required for the hCG levels to go down to undetectable levels; hence it requires about 8-10 days for the pregnancy test to become negative after abortion. Even after abortion, the test was positive since it was performed just after 3 days.

The best way to confirm the completeness of abortion is ultrasonography. If you find the uterus empty, the abortion is complete; if some products are found in the uterus it may be incomplete or failed abortion. In later situation, please get the abortion completed from Obstetrician by MVA or such surgical procedure.
Please repeat pregnancy test after 8 days. If the pregnancy test is still positive but the uterus is empty, there is a possibility of a serious type of pregnancy called as ectopic pregnancy. You will have to report to the Gynaecologist for this for emergency intervention.


If the medicines have failed to abort her, please do not think of continuation of pregnancy since this medicine can cause developmental abnormalities in the baby. Then you should get the pregnancy terminated by surgical evacuation of the uterus.

I hope this helps you.

Dr. Nishikant Shrotri
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General & Family Physician Dr. Dholariya Sagar Jayantilal's  Response
Hello dear
Understand your concern
Misoprostol should be used for termination of early intrauterine pregnancy (up to 63 days of gestational age). But remember it should be used under the expert supervision of gynecologist after pelvic examination and USG. Misoprostol should be used 200-400 mcg vaginally or orally. Extra dose may be needed if no bleeding. Bleeding will occur with in 1-2 hour after using pill and remain maximum for 7 days.
Pregnancy test is positive because it will take 7-10 days to become negative after abortion. But there may be possibility of incomplete abortion in which pregnancy test will give positive result. So USG by gynecologist is mandatory 14 days after using pill to confirm incomplete abortion and other complication of pill. So wait for few days and aftre that consult the gynecologist. Take proper rest with healthy diet, tablet meftal spas, maintain pelvic hygiene to prevent the vaginal infections, use safe sex practice.
Hope this may help you
Best regards
Dr. Sagar
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Suggest Medication To Abort The Pregnancy

Hallow Dear, Your friend has taken right medicines. She has opted for Misoprostol regime as recommended by WHO. After 2 tablets she has aborted. She repeated pregnancy test just 3 days after the abortion. Pregnancy test finds out the raised levels of hormone called as hCG. This hormone is raised during pregnancy. After abortion, a period of about a week to 10 days is required for the hCG levels to go down to undetectable levels; hence it requires about 8-10 days for the pregnancy test to become negative after abortion. Even after abortion, the test was positive since it was performed just after 3 days. The best way to confirm the completeness of abortion is ultrasonography. If you find the uterus empty, the abortion is complete; if some products are found in the uterus it may be incomplete or failed abortion. In later situation, please get the abortion completed from Obstetrician by MVA or such surgical procedure. Please repeat pregnancy test after 8 days. If the pregnancy test is still positive but the uterus is empty, there is a possibility of a serious type of pregnancy called as ectopic pregnancy. You will have to report to the Gynaecologist for this for emergency intervention. If the medicines have failed to abort her, please do not think of continuation of pregnancy since this medicine can cause developmental abnormalities in the baby. Then you should get the pregnancy terminated by surgical evacuation of the uterus. I hope this helps you. Dr. Nishikant Shrotri