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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Took Misoprostal For Abortion. Having No Bleeding, Only Cramping. Matter Of Concern?

Hi I m in a country where a abortion is illegal I took the abortion pill which I bought from women on the web- I followed instructions carefully but after almost 4 hrs of taking the initial 4 misoprostal I hv no bleeding and only mild cramping so nothingblike described is this cause for concern? I m 43 years old and the mother of 5? I hv limited access and no email address as I m in Egypt and along with facebook they hv been temp cut can u ansa online?
Fri, 7 Dec 2012
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OBGYN 's  Response
Hello
I appreciate your query.
First and foremost, medical abortion has to be taken strictly under medical supervision.
It is necessary to confirm weeks of pregnancy, as well as whether the pregnancy is inside the uterus or not, before consuming these pills.
It is very risky to proceed on your own, as various risks are involved.
Also, I hope you took the Mifepristone tablet before the Misoprostol tablets.
Most women will experience cramping and bleeding within a few hours of inserting misoprostol. The cramping and bleeding are usually heavier than what you might have during your period. Cramping may start before the bleeding. Some women expel blood clots that range in size from small (the size of a quarter) to quite large (the size of a lemon). The bleeding usually decreases after the pregnancy is expelled. About 90% of women expel the pregnancy within 24 hours of taking vaginal
misoprostol, although bleeding might continue for a few days, sometimes weeks for some women.
In your case, bleeding should follow within a few hours.
Please go for medical check up in any case, as sometimes, medical abortion fails, and you require surgical evacuation.
Also, rarely pregnancy occurs outside the uterus , in which case, these pills would not work.
Please consult a practitioner at the earliest for further help.
Hope this helped you.
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Took Misoprostal For Abortion. Having No Bleeding, Only Cramping. Matter Of Concern?

Hello I appreciate your query. First and foremost, medical abortion has to be taken strictly under medical supervision. It is necessary to confirm weeks of pregnancy, as well as whether the pregnancy is inside the uterus or not, before consuming these pills. It is very risky to proceed on your own, as various risks are involved. Also, I hope you took the Mifepristone tablet before the Misoprostol tablets. Most women will experience cramping and bleeding within a few hours of inserting misoprostol. The cramping and bleeding are usually heavier than what you might have during your period. Cramping may start before the bleeding. Some women expel blood clots that range in size from small (the size of a quarter) to quite large (the size of a lemon). The bleeding usually decreases after the pregnancy is expelled. About 90% of women expel the pregnancy within 24 hours of taking vaginal misoprostol, although bleeding might continue for a few days, sometimes weeks for some women. In your case, bleeding should follow within a few hours. Please go for medical check up in any case, as sometimes, medical abortion fails, and you require surgical evacuation. Also, rarely pregnancy occurs outside the uterus , in which case, these pills would not work. Please consult a practitioner at the earliest for further help. Hope this helped you.