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Suggest The Dosage Of Mifepristone To Achieve Successful Abortion

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Posted on Mon, 11 May 2015
Question: greetings of the day my wife have 6 months of trainig and she is one month pregnent and she is wanted to abort because of her carreer so today mornig around 07:30am i have provided mifty kit 200 mg mifepristone today medicn .My question is how much time it take for period after using medicn?and when i will give her the another dose of misopristol dosage to her?
doctor
Answered by Dr. Aarti Abraham (5 minutes later)
Brief Answer:
Entire process explained.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
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.

I hope this answer clarifies everything.
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (11 hours later)
thax a lot, doctor only one question left in my mind if suppose the bleeding not starts after using this pills?then what we will need to do?and lastly after using medicn how much time bleeding will take to start?

And dr...realy i m satisfied with your answer?plz advice me properly in this situation?

and dr.it is necessary to take 4 tablets?for clear the abortion process?or after using 2 it should be clear i mean to say proper abortion?

Please guide me dr XXXXXXX ...
doctor
Answered by Dr. Aarti Abraham (9 hours later)
Brief Answer:
As below.

Detailed Answer:
Hello again.
Let me clear your doubts one by one .
1. Generally pills are successful in 95 % of cases, so bleeding will begin after using the pills. If there is no bleeding for a week after taking the pills, you have to consult a gynecologist and go for surgical abortion.
2. After using these pills, generally bleeding starts within 24 - 48 hours.
3. YEs it is completely necessary to take 5 tablets ( 1 Mifepristone plus 4 tablets of Misoprostol ) - even if bleeding starts after 1 or 2 tablets, it is essential to complete the entire course to avoid incomplete results.
I hope this helped you.
Please feel free to ask further questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (2 hours later)
Very good Morning Dr XXXXXXX thax a lot for advicing me properly just i have only one question after taking mifepristone 200mg the bleeding starts or after using misoprostol dosage my wife bleeding start?and how to take the dosage of misoprostol?
doctor
Answered by Dr. Aarti Abraham (35 minutes later)
Brief Answer:
As below.

Detailed Answer:
Good morning to you too.
Bleeding can start anytime, in some women it starts after taking just the first tablet of Mifepristone.
However, in most women, it starts within 6 - 8 hours of taking the Misoprostol tablets ( first set of two tablets ).
In any case, the entire course has to be taken to ensure completion.
Misoprostol can be taken orally or vaginally.
If there is vomiting within 4 hours of intake, the dose should be repeated.
I hope this clears the picture again.
You can reach me directly anytime, and ask a question directly to me, using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Suggest The Dosage Of Mifepristone To Achieve Successful Abortion

Brief Answer: Entire process explained. Detailed Answer: Hello Thanks for writing to us with your health concern. 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. I hope this answer clarifies everything. Please feel free to discuss further.