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Should Dosage Of Cytotec Be Repeated In Case Of Incomplete Abortion?

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Posted on Wed, 14 Jan 2015
Question: i took cytotec, 4 tabs every 3 hours and was pregnant around 5 weeks, i bleeded for 2 days and stopped, did a sonar and found that it died but didnt come out from a week, can i take the cytotec again? And how to use it if yes?
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Answered by Dr. Dr. Rovena (1 hour later)
Brief Answer:
detailed below.

Detailed Answer:
Hello!

Welcome to Healthcare Magic!

I read carefully your query and understand your concerns.

If you have no fever,do not appear ill and don't have a persistent severe bleeding, you should give it some more time to see whether the uterus will expel its contents on its own.
You probably need to run another ultrasound after another week.
If the fetal remains are still in your uterus you may repeat the dosage of 800 mg Misoprostol (Cytotec ) intravaginally or taken orally.Then you should wait another 1-2 week to see if the uterus will expel all the content.It is necessary to run an ultrasound to tell for sure if all the fetal remains are cleared up.
If this fails ,then you may need to undergo an surgical uterine evacuation.
You should avoid sexual intercourse at least for 2 week after abortion.

If you start to have persistent bleeding ,fever ,abdominal pain you should seek medical attention right away.

I would suggest to consult an OB-GYN doctor because you need close monitoring every week with ultrasounds until all your uterus is completely clear.

Hope it helps.
Let me know if you need further help.
Kind regards,

Dr.Rovena Murati

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
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Answered by
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Dr. Dr. Rovena

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

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Should Dosage Of Cytotec Be Repeated In Case Of Incomplete Abortion?

Brief Answer: detailed below. Detailed Answer: Hello! Welcome to Healthcare Magic! I read carefully your query and understand your concerns. If you have no fever,do not appear ill and don't have a persistent severe bleeding, you should give it some more time to see whether the uterus will expel its contents on its own. You probably need to run another ultrasound after another week. If the fetal remains are still in your uterus you may repeat the dosage of 800 mg Misoprostol (Cytotec ) intravaginally or taken orally.Then you should wait another 1-2 week to see if the uterus will expel all the content.It is necessary to run an ultrasound to tell for sure if all the fetal remains are cleared up. If this fails ,then you may need to undergo an surgical uterine evacuation. You should avoid sexual intercourse at least for 2 week after abortion. If you start to have persistent bleeding ,fever ,abdominal pain you should seek medical attention right away. I would suggest to consult an OB-GYN doctor because you need close monitoring every week with ultrasounds until all your uterus is completely clear. Hope it helps. Let me know if you need further help. Kind regards, Dr.Rovena Murati