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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Took Methotrexate And Cytotec For Abortion. Mild Bleeding, Cramping. How Will I Know If I Had A Successful Abortion?

I was 4 weeks pregnant. I took the methotrexate shot and then 2 days later I took the cytotec to pass the fetus. I took the pills and 2 hours I started to bleed very lightly. I had barely any cramping but i took the pain pills. I only filled one pad inight. I didn't see any clots or sacs. That followings morning the bleeding was gone. It has been 4 days and Im not even spotting. I only bled lightly the night I took the pills. My periods are way heavier then that was. What I am asking is did the abortion work? My follow up appointment is in 2 weeks.
Fri, 19 Apr 2013
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OB & GYN Specialist 's  Response
Hi,
thanks for query.
You have not bled properly after taking methotrexate or cytotec,and product also not come out.
your pregnancy is only 4wks,but you should consult a gynae.
have you done your USG before taking tab to rule out pregnancy is intrauterine or not,or you consult any gynae,drug should be taken only under observation.
you should go for USG,to rule out any product of conception are there or not.
you should always take mifepristone and mesoprost for medical abortion,not methotrexate.
don't worry.take care.
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Took Methotrexate And Cytotec For Abortion. Mild Bleeding, Cramping. How Will I Know If I Had A Successful Abortion?

Hi, thanks for query. You have not bled properly after taking methotrexate or cytotec,and product also not come out. your pregnancy is only 4wks,but you should consult a gynae. have you done your USG before taking tab to rule out pregnancy is intrauterine or not,or you consult any gynae,drug should be taken only under observation. you should go for USG,to rule out any product of conception are there or not. you should always take mifepristone and mesoprost for medical abortion,not methotrexate. don t worry.take care.