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What Causes Pain And Excessive Bleeding After Taking The Unwanted Kit

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Posted on Wed, 1 Apr 2015
Question: Hello doc ...my wife missed her period last 28feb nd when we checked upt ...it was positive ....nd den she took a medicine dat is unwanted kit ...nd she take on 3march ...now i ask doc as erlier on dis site ...he ssid u complteed. Ur abortorn ....nd he adviced a ultrasound scan ....nd i did an ultrasound ...in ultrasound endometrium is 11mm ...nd dere is fluid in left ovary ...is it baby or something else?nd now my wife hve problem ...she hve pain on left iliac region. ...nd now almost bleeding stop ...yesterday she had dark red blood comes out nd now only red colour blood cmng ......im asking is dere any relation with pain in left side of illiac region to pregnancy ......?? Or i do any ulyrasound again ? Doc plz suugest me .....nd last 5days she had more bleeding ...can u tell me she aborted or not?
doctor
Answered by Dr. Aarti Abraham (48 minutes later)
Brief Answer:
Please upload report.

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.

In your case, When did she take the tablets ?
And can you please upload the scan report, I would like to go through it.
Please tell me the dates on which the test was pregnant, also tell me if a scan was done before taking the tablets, and also let me know dates on which tablets were taken, dates on which bleeding happened and then stopped.

Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (24 minutes later)
She take mifegest on 3march nd 2tab after 24hour nd further 1tab on nxt 12hour ....nd den she bleed more ....clots came ....nd 1tab vaginally after12hour nd now she hve pain in left illiac region nd also pain in left back ...nd i dnt hve report ...whn i ll send u as soon as possible ....radiologist said ...dere is fluid in left ovary ...bt no pregnancy ...he also said endometrium is in normal size ...dere is no pregnancy .....pain from last 2_3days jst like some gas on dat side ....can u tell me wat is dat ....is aborted or not ...im so worried

She told me ...pain was on whole abdomen ...nd now last 2_3days pain in left side
doctor
Answered by Dr. Aarti Abraham (23 minutes later)
Brief Answer:
Sounds like complete abortion , need the scan report to be sure.

Detailed Answer:
Well, it sounds as if the abortion was complete.
Was a scan done before taking the tablets ?
Was it confirmed that the pregnancy was inside the uterus ?
Rarely there could be ectopic pregnancy, where such pain could be possible.
That should be excluded before taking these pills.
Some amount of pain after the abortion is normal, if you send me the report, only then can I guide you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (7 minutes later)
No scan done before taking tab ....can u suggest me investigation ....i ll do another ultrasound or tvs ultrasound

Or colour dopler ultrasound ...plz suggest m
doctor
Answered by Dr. Aarti Abraham (43 minutes later)
Brief Answer:
TVS needs to be done.

Detailed Answer:
There is no need for a doppler ultrasound.
A TVS ( transvaginal scan ) is needed, and then you need to upload the report to me, so that I can guide you further.
PLease do that.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (39 hours later)
I uploaded reports ....can u tell me wat in reports
doctor
Answered by Dr. Aarti Abraham (56 minutes later)
Brief Answer:
Ultrasound is normal, abortion is complete.

Detailed Answer:
This is not transvaginal scan, but trans abdominal scan.
However it is perfectly normal, there is nothing to worry.
There is no mention of fluid on the ovaries or any other abnormality.
The uterus is empty, it is clear that the abortion is complete.
You should not worry now.
Please use a contraceptive method immediately.
Also take regular iron and vitamin supplements for vitality.
You can reach me anytime directly using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Aarti Abraham (17 minutes later)
Thanx doc .....bt in report dere is (suggestive of fibroid seeen)wat is dat .....nd wat contraceptive method ?plz tell m....how many days later urine test ll b negative?
doctor
Answered by Dr. Aarti Abraham (3 hours later)
Brief Answer:
there is no fibroid.

Detailed Answer:
It says that no fibroid is seen.
So there is no fibroid here.
You can start using condoms or oral contraceptive pills immediately.
Urine test will be negative after 4 - 6 weeks.
Take care.
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
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Causes Pain And Excessive Bleeding After Taking The Unwanted Kit

Brief Answer: Please upload report. 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. In your case, When did she take the tablets ? And can you please upload the scan report, I would like to go through it. Please tell me the dates on which the test was pregnant, also tell me if a scan was done before taking the tablets, and also let me know dates on which tablets were taken, dates on which bleeding happened and then stopped. Looking forward to hearing from you. Take care.