Is D And C Required When Having Vaginal Cramping And Ultrasound Report Shows RPOC?

Posted on Mon, 16 Mar 2015

Question: Hi Doctor
I have undergone MTP process orally at 6 weeks of pregnancy,after 10 days I went for ultrasound scanning(TVS) and found minimal RPOC of Length*Thickness*Width of 18*8*12 mm dimensions with endometric thickness of 16mm.Again I took misoprostal of 800 mg vaginally and the following day with 200mg Misoprostal three times a day with this i have got lot of pain and little cramping happened .After this I did Ultrasoundscan(TVS) and found the still some RPOC are there with endometric thickness of 20mm.
Do I need to go for D & C or any other ways to to get rid of this problem .Can any doctor suggest me in this.
Thanks in Advance XXXXXXX

Answered by Dr. Dalia Muraleedharan (12 minutes later)

Brief Answer:
Yes you require a D and C

Detailed Answer:
Hi,
Thanks for writing..
I understand your concern..

Since you have taken misoprostol tablet vaginally and still there is retained products, I would suggest to undergo D and C.. It is a small procedure which will require a stay of less than the 2 days in the hospital..

The retained products can cause uterine infection which can affect the future pregnancy.. It can also cause continuous bleeding leading to anemia..

Hope i have answered your query.. feel free to ask any doubts.. Good day..

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Dalia Muraleedharan (54 minutes later)

Hi Doctor ,
Actually am using the doxy-1 -DR Forte tablets as antiboitic ...to aviod infections.will that serve.i have one more query that these rpoc will expelled out in next menstrutal cycle right.shall i wait till that time or should go D & C .If so D & C in how many days in go for it
Thanks Inadvance XXXXXXX

Answered by Dr. Dalia Muraleedharan (4 hours later)

Brief Answer:
D and C would be better

Detailed Answer:
Hi,
Thanks for writing..

Yes, doxy will prevent infection to some extent but not completely.. There is no guarantee that the rpoc will expel by next cycle.. Sometimes it will remain in the uterus causing continuous bleeding.. I would recommend D and C at the earliest so that retained products will be removed soon..

Hope I have answered your query.. good day..

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Dalia Muraleedharan (2 hours later)

Hi Doctor ,
Thanks for answering .I have undergone MTP for first time on 1st feb and second time on 14th feb ...so i thinking to go with D & C on next weekend like 27 the feb is that fine or i should go early .after feb 27th that I can get leave for one week before that i wont get leaves.After D & C I need some rest right...can you please suggest me in this and am continuing Doxy till that time...
Thanks Inadvance
XXXX

Answered by Dr. Dalia Muraleedharan (17 hours later)

Brief Answer:
Yes, it should be fine

Detailed Answer:
Hi,
Thanks for writing..

It would be ok if done after a week unless you have symptoms like heavy vaginal bleeding, foul smelling vaginal discharge and severe pain abdomen.. You might require rest for few days.. Normal routine works can be done..

Hope I have answered your query.. Good day..

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. Shanthi.E