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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abortion

Attn..Gynecologist
Dear Doctor,
we are married an year ago and my wife is reported positive in pregnancy test.
she missed her periods this month.
her last periods were on 21st October.
precisely we dont want to go ahead with baby as we are yet to settle financially and plan for future of kids.
request you to suggest treatment for abortion.
my wife took I-Pill tablet also on 5th November when we got a doub kindly suggest treatment, whether tablets will be sufficient or D&C is required.
in case of abortion thru any of the above methods, whether any side effects and problems in next conceiving...
i appreciate if you can guide us...
thank you
Venkat
Thu, 31 Mar 2016
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OB & GYN Specialist 's  Response
Hello,

Thanks for writing to us. Followings are my comments:

1) On POSITIVE pregnancy test, she must undergo medical abortion under the guidance of gynecologist, which will be helpful in emergency situation. Not to take those medicine by herself without doctor's prescription.

2) By procedure, at first, she needs to take Tab Mifepristone 200mg (ideally 600mg) on D1, after 48 hrs take 2 Tab Misoprostol 200mg in the morning and other 2 tabs need to insert inside vagina by doctor.

3) She may need double dose sometimes if proper bleeding DOESN'T start within 72 hrs. Soon after taking Tab Misoprostol, abdominal cramp and vaginal bleeding start within 7 days and next period may be earlier/delayed.

4) Post pill abortion, you must do a USG lower abdomen to check retained bits/ conceptional products if any and may need D &C to complete abortion.

5) Practice safe sex by using safe period/ OCP/ other methods to prevent unwanted pregnancy. There is NO ill-effect in future pregnancy.

Hope, it helps for your information. Be well. Good luck.
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Suggest Treatment For Abortion

Hello, Thanks for writing to us. Followings are my comments: 1) On POSITIVE pregnancy test, she must undergo medical abortion under the guidance of gynecologist, which will be helpful in emergency situation. Not to take those medicine by herself without doctor s prescription. 2) By procedure, at first, she needs to take Tab Mifepristone 200mg (ideally 600mg) on D1, after 48 hrs take 2 Tab Misoprostol 200mg in the morning and other 2 tabs need to insert inside vagina by doctor. 3) She may need double dose sometimes if proper bleeding DOESN T start within 72 hrs. Soon after taking Tab Misoprostol, abdominal cramp and vaginal bleeding start within 7 days and next period may be earlier/delayed. 4) Post pill abortion, you must do a USG lower abdomen to check retained bits/ conceptional products if any and may need D &C to complete abortion. 5) Practice safe sex by using safe period/ OCP/ other methods to prevent unwanted pregnancy. There is NO ill-effect in future pregnancy. Hope, it helps for your information. Be well. Good luck.