Hello,

Thanks for posting your query.

If you are 5 months pregnant ( which means 20 weeks gestational age), then medical abortion is less likely to be effective.

At 5 months pregnancy, surgical abortion by dilatation and curettage (D+C) is the best treatment option. At 5 months of gestation, the baby is small and fragile but it is growing rapidly.

Hence I suggest you to go in for surgical abortion rather than method which is effective only till 7 weeks of gestation ( 2 months pregnancy).

You are bleeding less than anticipated and hence without an ultrasound it is not possible to predict whether the live fetus has been killed by the medicine and injection or not.

This bleeding may go for 15-20 days till all the products of conception get expelled. No need to worry about bleeding, visit your doctor if it is too heavy and get D&C done.

You might have been given prostaglandin injection by your doctor which causes the uterus to contract intensely, pushing out the developing baby.

The contractions are more violent than normal, natural contractions, so the unborn baby is frequently killed by them.

But it is better to get an ultrasound done and if abortion has not occurred then go in for surgical abortion by D+C.

Hope this answers your query.

If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Thanks and regards.

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Hello,

Thanks for writing back with the clarification.

Medical termination of pregnancy(MTP) by pills(methotrexate, mesoprostol and mifiprestone) is effective only if pregnancy is less than seven weeks.

Since you are 5 weeks pregnant, hence you have been given these pills by your doctor. It is not necessary that all women bleed very heavily after taking these pills. Some women may have bleeding like normal heavy flow of first two days of menstrual cycle.

But if you are having little bleeding then it raises the doubts that complete abortion has occurred. Repeat Ultrasound should be done after 7 days- 2 weeks after the tablets are taken to confirm that the abortus is expelled. If bleeding doesn't occur after these medications a suction procedure or D+C may be needed in few cases.

Hope this answers your query.

Thanks and regards.

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Hello XXXXXXX

Thanks for writing back.

It is fine that the bleeding has started after taking the abortifacients. Breast soreness is common during early pregnancy and due to the hormonal action, this soreness may start or continue after abortion also.

In case of pregnancy loss,the value of HCG will return to a non-pregnant range(<5 mIU /L) about 4 - 6 weeks after a pregnancy loss. However after a miscarriage the soreness will take a few days to subside.

Apply warm compresses on the breasts and take some like Ibuprofen after consulting your doctor.

Hope this answers your query.

Wish you good health

Regards.

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