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What Causes Cramps And Vaginal Spotting After Taking Misoprostol?
Question: hi doctor,i used misoprostol at 11pm,it is 4:30am now and i have only had cramps ,spotting and stooling. what do i do. I inserted 800mcg vaginally.
Brief Answer:
Need to wait.
Detailed Answer:
Hi,
Thanks for posting your query.
Misoprostol alone is most often useful in early pregnancy abortions but is more effective when used in combination with Mifepristone. Since you have already taken the usual dose, you need to wait before going for a repeat dose or supplement another drug.
If you have not seen any doctor so far, I suggest seeing a specialist immediately and get a trans-vaginal sonogram. You should know the age of pregnancy and also the location of the gestation sac to get the proper dosage of the drugs. Else, you can land up in an incomplete abortion with heavy bleeding or an infection. Sometimes, there is a chance that an ectopic pregnancy may be tampered with grave consequences.
Please maintain genital hygiene.
Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Need to wait.
Detailed Answer:
Hi,
Thanks for posting your query.
Misoprostol alone is most often useful in early pregnancy abortions but is more effective when used in combination with Mifepristone. Since you have already taken the usual dose, you need to wait before going for a repeat dose or supplement another drug.
If you have not seen any doctor so far, I suggest seeing a specialist immediately and get a trans-vaginal sonogram. You should know the age of pregnancy and also the location of the gestation sac to get the proper dosage of the drugs. Else, you can land up in an incomplete abortion with heavy bleeding or an infection. Sometimes, there is a chance that an ectopic pregnancy may be tampered with grave consequences.
Please maintain genital hygiene.
Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
i read that i am supposeto use the second dose 12 hrs after ,is that correct ? What dosage am i suppose to use for the second dose and can it be by mouth since the first was viginal
Brief Answer:
Not appropriate.
Detailed Answer:
Hi,
Thanks for writing back.
The dosage of Misoprostol as you said is not appropriate and moreover, many instructors guide on lines with concomitant use of Mifepristone. Please do as I suggested and get the help of a specialist.
Using higher doses can cause severe uterine contractions sometimes leading to rupture and dangerous bleeding. Right now, you cannot use more than the dose already taken until another day.
Hope I have clarified your doubt. Please get back if you need more information. I will be ready to help.
regards,
Shanti.V.
Not appropriate.
Detailed Answer:
Hi,
Thanks for writing back.
The dosage of Misoprostol as you said is not appropriate and moreover, many instructors guide on lines with concomitant use of Mifepristone. Please do as I suggested and get the help of a specialist.
Using higher doses can cause severe uterine contractions sometimes leading to rupture and dangerous bleeding. Right now, you cannot use more than the dose already taken until another day.
Hope I have clarified your doubt. Please get back if you need more information. I will be ready to help.
regards,
Shanti.V.
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. Vinay Bhardwaj
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