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Suggest Treatment For Intrauterine Pregnancy

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Posted on Tue, 14 Apr 2015
Question: hi doctor
doctor
Answered by Dr. Sameer Kumar (1 hour later)
Brief Answer:
visit emergency please

Detailed Answer:
Hello,
Thanks for the query to HCM,
If it was a diagnosed failed pregnancy or an inevitable abortion or a threatened abortion and it was decided by your physician that its not viable and should be aborted then he shouldn't have advises PAUSE 500 at all and the cytolog. The bleeding has stopped hence.
Now it is better suggested that you visit your treating physician for a D& C procedure under anaesthesia . Please visit ER if your doctor is not available.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (12 hours later)
Hello Doctor,

Thanks for the response. I have consulted with my treating physician and have been told to take 2xcytolog again. I have taken them this morning at 11 AM. But now the pain is reduced, and having little bleeding. Now, I have been advised to take one more pair of cytolog to night at 11 PM. I asked whether it is emergency/serious condition, and have been told nothing to worry about that and I can wait for two more days to see if RPOC released. And further, on saturday, a scan will be done and if still remaining D&C can be done.

Can you please provide your opinion on this. (Also please mention if there is any other alternative than D&C)
doctor
Answered by Dr. Sameer Kumar (10 minutes later)
Brief Answer:
answered

Detailed Answer:
hello,
if you would have been my patient at 6 weeks pregnancy with intrauterine pregnancy and unwilling to continue pregnancy then i would offered you the following protocol which is evidence based here...
1. tab mifepristone 200mg orally stat.
2. tab misoprostol 800mg stat after 36 hrs, then tab misoprostol 400mg 4 hrly till XXXXXXX of 2000mg if the pregnancy still continued after the first dose of misoprostol.
This is successful if 95 % cases and mostly D& C is avoided.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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Suggest Treatment For Intrauterine Pregnancy

Brief Answer: visit emergency please Detailed Answer: Hello, Thanks for the query to HCM, If it was a diagnosed failed pregnancy or an inevitable abortion or a threatened abortion and it was decided by your physician that its not viable and should be aborted then he shouldn't have advises PAUSE 500 at all and the cytolog. The bleeding has stopped hence. Now it is better suggested that you visit your treating physician for a D& C procedure under anaesthesia . Please visit ER if your doctor is not available. Regards