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How To Terminate Pregnancy?

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Posted on Fri, 17 Apr 2015
Question: hello doc,
i am really confused as i get my period on 12th but still i didnot get my period.and me and my bf had unprotected sex and i used the contraceptive pill too but till now i did not get my periods.and today i check and i got the result as positive.please help me.
doctor
Answered by Dr. Aarti Abraham (35 minutes later)
Brief Answer:
Consult a gynec for medical abortion with pills.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I think you mean the emergency pill, not the regular monthly contraceptive pill.
Anyways, now you are pregnant, and you would require termination of pregnancy.
In early pregnancy, medical abortion with pills is the best choice.
Let me explain the process of medical abortion with pills to you.

While undergoing a medical abortion, one should constantly be under medical supervision.
Let me explain why this is important.
Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan.
So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic ultrasound scan.
This has two purposes.
It dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time.
Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous.

After confirming the pregnancy, tablets are taken by prescription.

Generally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally.

Bleeding with cramps starts in a few hours, and lasts heavily for a few days.

Spotting might continue for 15 days or more.

It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete.

Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc.

Hence it is a must to keep a doctor in the loop throughout.

Misoprostol tablets can be taken orally or vaginally both.

Generally the combination of 1 mifeprin and 4 misoprostol is successful in more than 96 % of cases, and chances of having an incomplete abortion are quite low, less than 5 % in fact.

Also, if a doctor is kept informed, then the requisite actions can be immediately taken.
Medical abortion is quite safe nowadays if done with due precautions.
So consult a gynecologist at the earliest, and relax.
All the best
Please feel free to discuss further.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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How To Terminate Pregnancy?

Brief Answer: Consult a gynec for medical abortion with pills. Detailed Answer: Hello Thanks for writing to us with your health concern. I think you mean the emergency pill, not the regular monthly contraceptive pill. Anyways, now you are pregnant, and you would require termination of pregnancy. In early pregnancy, medical abortion with pills is the best choice. Let me explain the process of medical abortion with pills to you. While undergoing a medical abortion, one should constantly be under medical supervision. Let me explain why this is important. Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan. So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic ultrasound scan. This has two purposes. It dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time. Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous. After confirming the pregnancy, tablets are taken by prescription. Generally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally. Bleeding with cramps starts in a few hours, and lasts heavily for a few days. Spotting might continue for 15 days or more. It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete. Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc. Hence it is a must to keep a doctor in the loop throughout. Misoprostol tablets can be taken orally or vaginally both. Generally the combination of 1 mifeprin and 4 misoprostol is successful in more than 96 % of cases, and chances of having an incomplete abortion are quite low, less than 5 % in fact. Also, if a doctor is kept informed, then the requisite actions can be immediately taken. Medical abortion is quite safe nowadays if done with due precautions. So consult a gynecologist at the earliest, and relax. All the best Please feel free to discuss further.