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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Unwanted Pregnancy, Mild Bleeding. Mifepristone, Misoprostol Taken, Pregnancy Test Still Positive. Advise?

Hello Doc, I my 6 wk old pregnancy by Urine Pregnancy test kit. Took 200 mg mifepristone followed 2 days later by 400 ug misoprostol. Bleeding began 1 day later, though mild and lasted only for 3 days. Retested using urine pregnancy test kit after 4 days. The test is still positive. What should be my next step? A repeat dose of misoprost or ultrasonograpy? I am a happily married lady vet who doesn't want a kid yet. Thanks in advance.
Mon, 29 Apr 2013
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OBGYN,  's  Response

Thanks for your query.
I wonder if it is legal in your country to take these medications over the counter.
Firstly, the diagnosis of pregnancy has to be confirmed by a gynecologist.
Secondly, the exact dates of pregnancy have to be confirmed in weeks. Sometimes, these medicines work only within a narrow time frame.
Thirdly, that the pregnancy is intra uterine has to be confirmed. If you take these medications in case of ectopic pregnancy ( pregnancy outside uterus ), results can be fatal.
Fourth, the exact dose and schedule is precise and has to be prescribed by a doctor after examining you.
Fifth, after completing the prescribed course, you need to have a follow up visit to confirm that the abortion was complete.
If you do not follow these precautions, you run the following risks :
1. prolonged and heavy bleeding
2. infection
3. retained products of conception
4. failed and incomplete abortion, requiring surgical evacuation

The medicines work within 12 - 24 hours.
At first, you might just have nausea, slight cramps and brownish discharge.
However, over the coming day, you should have heavy bleeding, with passage of clots and fleshy tissues.

But to confirm the success of the pills, and for your own health and safety, I would urgently request you to consult a Gynecologist, and conduct the abortion safely under medical supervision.

Take care, and feel free to ask further questions.
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OBGYN,  Dr. Rishma Lakhani's  Response
Hello,

The pregnancy test remains positive for around 7-14 days after abortion, but still if you are too anxious you ca go for ultrasonography of pelvis to be sure that there are no retained products of conception.

You can consult your doctor with the report for further advice.

I would also like to advice you for proper contraception to avoid unnecessary abortions.

Don't worry,take care.

Dr. Rishma Lakhani
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Unwanted Pregnancy, Mild Bleeding. Mifepristone, Misoprostol Taken, Pregnancy Test Still Positive. Advise?

Thanks for your query. I wonder if it is legal in your country to take these medications over the counter. Firstly, the diagnosis of pregnancy has to be confirmed by a gynecologist. Secondly, the exact dates of pregnancy have to be confirmed in weeks. Sometimes, these medicines work only within a narrow time frame. Thirdly, that the pregnancy is intra uterine has to be confirmed. If you take these medications in case of ectopic pregnancy ( pregnancy outside uterus ), results can be fatal. Fourth, the exact dose and schedule is precise and has to be prescribed by a doctor after examining you. Fifth, after completing the prescribed course, you need to have a follow up visit to confirm that the abortion was complete. If you do not follow these precautions, you run the following risks : 1. prolonged and heavy bleeding 2. infection 3. retained products of conception 4. failed and incomplete abortion, requiring surgical evacuation The medicines work within 12 - 24 hours. At first, you might just have nausea, slight cramps and brownish discharge. However, over the coming day, you should have heavy bleeding, with passage of clots and fleshy tissues. But to confirm the success of the pills, and for your own health and safety, I would urgently request you to consult a Gynecologist, and conduct the abortion safely under medical supervision. Take care, and feel free to ask further questions.