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Is It Safe To Use Mifegest Kit For Abortion?
Question: Dear All,
We had an intercourse 35 days back. She had taken IPILL on the 48th hour of multiple intercourse. However the pill failed. She had tested using general Pregnancy tester kit, where she was positive.
Since we are not married we are very scared of the Instance & guilty too (We are sorry) & cant afford a child now.
Also since she stays in altogether a different state she cant afford to consult a doctor.
Please advice any medicine which can be used to abort the pregnancy. Have heard of mifegest & unknow kit please advice. Its a requst....pleas help...
Thanks & Regards,
XXXX
We had an intercourse 35 days back. She had taken IPILL on the 48th hour of multiple intercourse. However the pill failed. She had tested using general Pregnancy tester kit, where she was positive.
Since we are not married we are very scared of the Instance & guilty too (We are sorry) & cant afford a child now.
Also since she stays in altogether a different state she cant afford to consult a doctor.
Please advice any medicine which can be used to abort the pregnancy. Have heard of mifegest & unknow kit please advice. Its a requst....pleas help...
Thanks & Regards,
XXXX
Brief Answer:
Do not self medicate yourself.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
It is life threatening to try and abort the pregnancy on your own.
It is essential to have the pregnancy confirmed by a gynecologist .
It must be exactly dated too.
Next, medical abortion pills are to be taken as per prescription and correct schedule that your doctor explains to you.
I can explain the general protocol to you, but again, taking them without consulting a doctor is not just illegal, but potentially life threatening.
Generally, 1 tablet of Mifepristone is taken orally.
24 hours later, 2 tablets of 200 mcg Cytotec are taken orally or vaginally followed by 2 more such tablets another 24 hours later.
After this procedure, bleeding and cramping might start within 24 - 48 hours, and continue for upto 2 - 3 weeks.
It is also vital to have a follow up ultrasound scan to check that the abortion pills worked and the uterus is empty, after 15 days of taking the tablets.
Failing to take these precautions , there are risks such as - infection, uncontrolled bleeding, retained products, undiagnosed ectopic pregnancy etc.
And if these steps are followed, the pills work in more than 95 % of cases.
All the best
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Do not self medicate yourself.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
It is life threatening to try and abort the pregnancy on your own.
It is essential to have the pregnancy confirmed by a gynecologist .
It must be exactly dated too.
Next, medical abortion pills are to be taken as per prescription and correct schedule that your doctor explains to you.
I can explain the general protocol to you, but again, taking them without consulting a doctor is not just illegal, but potentially life threatening.
Generally, 1 tablet of Mifepristone is taken orally.
24 hours later, 2 tablets of 200 mcg Cytotec are taken orally or vaginally followed by 2 more such tablets another 24 hours later.
After this procedure, bleeding and cramping might start within 24 - 48 hours, and continue for upto 2 - 3 weeks.
It is also vital to have a follow up ultrasound scan to check that the abortion pills worked and the uterus is empty, after 15 days of taking the tablets.
Failing to take these precautions , there are risks such as - infection, uncontrolled bleeding, retained products, undiagnosed ectopic pregnancy etc.
And if these steps are followed, the pills work in more than 95 % of cases.
All the best
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your revert madam, However May I know whats the quantity for Mifepristone to be taken & whats MCG is it like 200 mg...?
Please let me know if the attached pics combinations would be better.
I would really be more than happy if I could have a word with you over the phone.
Since I am unable to function properly.
If you can share your number @ 0000.
Thanks again.
Please let me know if the attached pics combinations would be better.
I would really be more than happy if I could have a word with you over the phone.
Since I am unable to function properly.
If you can share your number @ 0000.
Thanks again.
Brief Answer:
Both of these can be used.
Detailed Answer:
Hello.
Thanks for writing again.
I have seen both the kits attached. She can use any one of these for pregnancy less than 49 days.
You can consult with me on phone after using call a doctor package.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Both of these can be used.
Detailed Answer:
Hello.
Thanks for writing again.
I have seen both the kits attached. She can use any one of these for pregnancy less than 49 days.
You can consult with me on phone after using call a doctor package.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
How can i go about call a doctor package? Please let me know
Brief Answer:
Ask for a phone call consultation.
Detailed Answer:
You can write to YYYY@YYYY or opt for phone call consultation.
Regards.
Ask for a phone call consultation.
Detailed Answer:
You can write to YYYY@YYYY or opt for phone call consultation.
Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
Thanks Mam, As suggested & since her last period happened on 10-Apr-15 she is 48 days pregnant I am reconfirming the dosage adviced.
1. Mifepristone 200mg 1 tab at night today after Dinner.
2. After 12 hours 2 tablets of 200 mcg Misoprostol.
3. Again after 12 Hours 2 tablets of 200 mcg Misoprostol.
Please let me know if I a correct & can be taken forward.
Thanks & Regards.
1. Mifepristone 200mg 1 tab at night today after Dinner.
2. After 12 hours 2 tablets of 200 mcg Misoprostol.
3. Again after 12 Hours 2 tablets of 200 mcg Misoprostol.
Please let me know if I a correct & can be taken forward.
Thanks & Regards.
Brief Answer:
Yes. It is correct.
Detailed Answer:
The kit is effective for 49 days of pregnancy only. You have understood correctly. It is best to consult a gynecologist and take the medicine under her supervision.
Regards.
Yes. It is correct.
Detailed Answer:
The kit is effective for 49 days of pregnancy only. You have understood correctly. It is best to consult a gynecologist and take the medicine under her supervision.
Regards.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Hi Mam,
She has already taken Mifepristone 200 Mg tablet yesterday night (26th Night).
& tonight she is going to 2 tabs of Misoprostol 200Mcg (each) & after 12 hours another 2 tabs.
My questions are below:
1. Which would be more effective orally or vaginally?
2. If Vaginally is there any specific area/position that the medicine should reach?
3. Is there any precaution or anything specific to be kept in mind if taken orally or Vaginally?
4. Is there any observation we have to keep?
Thanks & Regards.
She has already taken Mifepristone 200 Mg tablet yesterday night (26th Night).
& tonight she is going to 2 tabs of Misoprostol 200Mcg (each) & after 12 hours another 2 tabs.
My questions are below:
1. Which would be more effective orally or vaginally?
2. If Vaginally is there any specific area/position that the medicine should reach?
3. Is there any precaution or anything specific to be kept in mind if taken orally or Vaginally?
4. Is there any observation we have to keep?
Thanks & Regards.
Brief Answer:
Details below.
Detailed Answer:
1. Both the ways are equally effective. Vaginal route is associated with lesser side effects.
2. The medicine should reach high up in the vagina and keep lying for half an hour after inserting the medicine.
3. It can cause fever, nausea, vomiting, chills and rigor and sudden heavy bleeding.
4. Do watch for severe abdominal cramps and heavy bleeding. In that case she might have to attend an emergency room.
Regards.
Details below.
Detailed Answer:
1. Both the ways are equally effective. Vaginal route is associated with lesser side effects.
2. The medicine should reach high up in the vagina and keep lying for half an hour after inserting the medicine.
3. It can cause fever, nausea, vomiting, chills and rigor and sudden heavy bleeding.
4. Do watch for severe abdominal cramps and heavy bleeding. In that case she might have to attend an emergency room.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks mam,
She has taken Misoprostol 2 tabs vaginally these are the observations:
1. Heavy bleeding started in 2 hours of Insertions.
2. However with the blood the tabs also came out, can this be an issue?
3. Since she is being bleeding heavy (4, 5 Pads) till 10:00 AM today should she use another 2 medicine & can that be taken orally?
4. FYI: As of now the bleeding & pain has come down.
she has been taking out a lill clots & lill fleshy chunks is the real behaviour of medicine.
Thanks & Regards.
Please let us know if there any other observation to required.
She has taken Misoprostol 2 tabs vaginally these are the observations:
1. Heavy bleeding started in 2 hours of Insertions.
2. However with the blood the tabs also came out, can this be an issue?
3. Since she is being bleeding heavy (4, 5 Pads) till 10:00 AM today should she use another 2 medicine & can that be taken orally?
4. FYI: As of now the bleeding & pain has come down.
she has been taking out a lill clots & lill fleshy chunks is the real behaviour of medicine.
Thanks & Regards.
Please let us know if there any other observation to required.
Brief Answer:
It is normal.
Detailed Answer:
The bleeding is expected to start after putting in the tablets. It is normal for the tablets to come out. That does not matter.
It is better to take rest of the two tablets orally. This will help in complete expulsion of products.
Just wait for the pain and bleeding to subsie in next 2-3 days. In case the heavy bleeding continues then do consult a gynecologist for proper medicines to stop bleeding.
Regards.
It is normal.
Detailed Answer:
The bleeding is expected to start after putting in the tablets. It is normal for the tablets to come out. That does not matter.
It is better to take rest of the two tablets orally. This will help in complete expulsion of products.
Just wait for the pain and bleeding to subsie in next 2-3 days. In case the heavy bleeding continues then do consult a gynecologist for proper medicines to stop bleeding.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Mam,
After Taking 2 more misoprostol orally:
she started bleeding again for 3 hours with blood & clots.
However after that bleeding subdued & now its slightly bleeding its 12:00AM now.
Please let me know if this is absolutely fine.
If she needs to take any more misoprostol or any other tablet.
Also want to know if the process was successful.
Is there any sign which shows that this was successful.
Please let us know... Thanks for your help.
After Taking 2 more misoprostol orally:
she started bleeding again for 3 hours with blood & clots.
However after that bleeding subdued & now its slightly bleeding its 12:00AM now.
Please let me know if this is absolutely fine.
If she needs to take any more misoprostol or any other tablet.
Also want to know if the process was successful.
Is there any sign which shows that this was successful.
Please let us know... Thanks for your help.
Brief Answer:
It is normal.
Detailed Answer:
It normal for the bleeding to subside after some time. If she has expelled a light pink tissue measuring around 4-5 cm in size then the process is likely to be complete. She can have some intermittent bleeding and mild abdominal cramps for next 2 weeks.
To make sure that all the products of conception have been expelled she will have to get an ultrasound scan done after 4-5 days. No specific medicine is needed now.
Regards.
It is normal.
Detailed Answer:
It normal for the bleeding to subside after some time. If she has expelled a light pink tissue measuring around 4-5 cm in size then the process is likely to be complete. She can have some intermittent bleeding and mild abdominal cramps for next 2 weeks.
To make sure that all the products of conception have been expelled she will have to get an ultrasound scan done after 4-5 days. No specific medicine is needed now.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My Hearty Thanks to you for all your support & advice...
As advised by you she has visited a gynac & gone through an Ultrasound/sonography scan.
Below are the details of the report.
USG Pelvis
Uterus is normal in shape & size & eco texture.
Endomprial thickness is thick 11 mm
Hyperoechoic with clot & tiny subcentimetre retained product
Both Ovarary are normal in size & echoes.
U bladder is dispended.
Lumen is free.
No free fluid is seen in cul de sac
imp post medical mtp.
I want to be doubly sure if the report indicates anything specific.(Good/Bad)
Please advice.
As advised by you she has visited a gynac & gone through an Ultrasound/sonography scan.
Below are the details of the report.
USG Pelvis
Uterus is normal in shape & size & eco texture.
Endomprial thickness is thick 11 mm
Hyperoechoic with clot & tiny subcentimetre retained product
Both Ovarary are normal in size & echoes.
U bladder is dispended.
Lumen is free.
No free fluid is seen in cul de sac
imp post medical mtp.
I want to be doubly sure if the report indicates anything specific.(Good/Bad)
Please advice.
Brief Answer:
Not much to worry.
Detailed Answer:
The report shows a tiny subcentric retained product. If she is having an intermittent bleeding then this may need to be removed by D&C. But if she ios feeling normal then she can wait till her next periods. Such small pieces can come out with the menstrual blood. Regards.
Not much to worry.
Detailed Answer:
The report shows a tiny subcentric retained product. If she is having an intermittent bleeding then this may need to be removed by D&C. But if she ios feeling normal then she can wait till her next periods. Such small pieces can come out with the menstrual blood. Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Mam & a very Good morning:
After looking at the ultrasound report, yesterday the doc that she has consulted has given her 2 option:
Either to go for D&P or some medicine which would go for 3 months through which the remainings will comeout..
About her physical Condition:
So far she was having less than normal bleeding (comparably more on the early part of the morning). However she said that today No bleeding, but a very tiny piece of clot kind substance came out..
She has been feeling a lill weak.
Please share your suggestions/ advice...
After looking at the ultrasound report, yesterday the doc that she has consulted has given her 2 option:
Either to go for D&P or some medicine which would go for 3 months through which the remainings will comeout..
About her physical Condition:
So far she was having less than normal bleeding (comparably more on the early part of the morning). However she said that today No bleeding, but a very tiny piece of clot kind substance came out..
She has been feeling a lill weak.
Please share your suggestions/ advice...
Brief Answer:
She can take medicines.
Detailed Answer:
It is normal to have a persistent bleeding after taking the abortion pills. She should take medicines to expel the remaining products after consulting her gynecologist. Since the retained product is a very tiny piece, a D&C can be avoided.
Regards.
She can take medicines.
Detailed Answer:
It is normal to have a persistent bleeding after taking the abortion pills. She should take medicines to expel the remaining products after consulting her gynecologist. Since the retained product is a very tiny piece, a D&C can be avoided.
Regards.
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. Prasad
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